Tara Ettlin is a Professional in Bellingham, Washington. Tara Ettlin practices all healthcare services and medical treatments related to Professional. The NPI Number for Tara Ettlin is 1093842643. The last update date is 2012-06-04.
Tara Ettlin's current location address is 2110 Iron St, Bellingham, Washington. You can contact this provider via phone number 3607342664 and fax number 3606718006. The mailing address for Tara Ettlin is 2110 Iron St, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Ettlin |
|---|---|
| Address | 2110 Iron St, Bellingham, Washington |
| Phone Number | 3607342664 |
| Fax Number | 3606718006 |
| Sole Proprietor | Y |
| Credentials | MS, LMHC |
NPI Number Detail
| NPI Number | 1093842643 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2012-06-04 |
Provider Mailing Address Detail
| Address | 2110 Iron St |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982254123 |
| Phone Number | 3607342664 |
| Fax Number | 3606718006 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LH60031137 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7406051 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tara Ettlin by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Ettlin has been assigned the NPI (National Provider Identifier) 1093842643. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tara Ettlin is geographically located?
The Tara Ettlin is physically situated at the following location: 2110 Iron St, Bellingham, WA, 982254123.
What is Tara Ettlin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tara Ettlin is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
When was the Tara Ettlin's 1093842643 issued?
The Tara Ettlin's 1093842643 was issued on 2007-02-28.
When was the Tara Ettlin's information last updated?
The Tara Ettlin's information was last updated on 2012-06-04.