Nelson, Tara D

Nelson, Tara D is an individual health care provider with primary practice located at 316 S Main St , Woodstock VA 22664-1254. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nelson, Tara D can be contacted via phone (540) 908-8585.

Contact Information

Primary practice address
316 S Main St Woodstock VA 22664-1254
Phone: (540) 908-8585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0709024731 Virginia

Profile Details

NPI number 1891416517
LBN Legal business name Nelson, Tara D
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2022
Last updated Sep 9th, 2022 - about 4 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 1891416517 NPPES
Virginia Other 0709024731 CSAC LICENSE

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