Amanda McGary Tatro
Counselor in Omaha, NE. Individual provider (NPI-1).
NPI number1750833851
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1750833851
- Entity type
- Individual (NPI-1)
- Name
- Amanda McGary Tatro
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2016
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 11424 | NE | Yes |
| 101Y00000X | Counselor | 082450 | IA |
Practice location
11929 Elm St Suite 12aOmaha, NE 68144
Phone 402-401-4132
Mailing address
11929 Elm St Suite 12aOmaha, NE 68144
Phone 402-401-4132
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