Mcdaniel, Tamara H

Mcdaniel, Tamara H is an individual health care provider with primary practice located at 3300 Academy Ave , Portsmouth VA 23703-3205. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mcdaniel, Tamara H can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
3300 Academy Ave Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003079 Virginia

Profile Details

NPI number 1114914561
LBN Legal business name Mcdaniel, Tamara H
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1114914561 NPPES
Virginia Other 085462M SENTARA
Virginia Other 277967 SENTARA

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