Gabrielson, Tara Ann

Gabrielson, Tara Ann is an individual health care provider with primary practice located at 211 4Th St East Central Mhicd Center Inc, Brookings SD 57006. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gabrielson, Tara Ann can be contacted via phone (605) 697-2850.

Contact Information

Primary practice address
211 4Th St East Central Mhicd Center Inc Brookings SD 57006
Phone: (605) 697-2850
Fax: (605) 697-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1780851766
LBN Legal business name Gabrielson, Tara Ann
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated May 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780851766 NPPES
South Dakota MEDICAID 5200060

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