Individual provider · NPI-1
Tarmara Eukera Holder, LCSW CAADC
Social Worker, Clinical · Dublin, GA
NPI number1427459155
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1427459155
- Entity type
- Individual (NPI-1)
- Name
- Tarmara Eukera Holder
- Credential
- LCSW CAADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2014
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW005217 | GA | Yes |
| 101YM0800X | Counselor, Mental Health | CSW005217 | GA | |
| 101YP2500X | Counselor, Professional | CSW005217 | GA | |
| 103K00000X | Behavior Analyst | CSW005217 | GA | |
| 106H00000X | Marriage & Family Therapist | CSW005217 | GA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CSW005217 | GA |
Practice location
749 Pointe West LoopDublin, GA 31021-0912
Phone 478-697-1983 · Fax 478-296-2110
Mailing address
749 Pointe West LoopDublin, GA 31021-0912
Phone 478-697-1983 · Fax 478-296-2110
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