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Tara M Pavone

Counselor, Mental Health in New York, NY. Individual provider (NPI-1).

NPI number1982169074
StatusActive
Last updated in NPPESDec 4, 2024

Details

NPI
1982169074
Entity type
Individual (NPI-1)
Name
Mrs. Tara M Pavone
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 4, 2019
Certification date
Dec 4, 2024
Last updated
Dec 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–DCYes

Practice location

109 W 27th St Ste 5s
New York, NY 10001-0265

Phone 833-351-8255

Mailing address

3217 Rhode Island Ave Apt 3
Mount Rainier, MD 20712-2039

Other practice locations

3217 Rhode Island Ave Apt 3
Mount Rainier, MD 20712-2039

Phone 914-924-3484

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