Tamara Ice in Sebastopol - Marriage & Family Therapist
Tamara Ice - NPI 1356487771
Tamara Ice is a Marriage & Family Therapist in Sebastopol, California. Tamara Ice practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Tamara Ice is 1356487771. The last update date is 2012-03-30.
Tamara Ice's current location address is 820 Gravenstein Ave Ste 200, Sebastopol, California. You can contact this provider via phone number 7075220473. The mailing address for Tamara Ice is 820 Gravenstein Ave Ste 200, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Ice |
|---|---|
| Address | 820 Gravenstein Ave Ste 200, Sebastopol, California |
| Phone Number | 7075220473 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356487771 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2012-03-30 |
Provider Mailing Address Detail
| Address | 820 Gravenstein Ave Ste 200 |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 9547245570 |
| Phone Number | 7075220473 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | IMF44768 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Tamara Ice by the Centers for Medicare & Medicaid Services (CMS)?
The Tamara Ice has been assigned the NPI (National Provider Identifier) 1356487771. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Tamara Ice is located?
The Tamara Ice is situated at the following address: 820 Gravenstein Ave Ste 200, Sebastopol, CA, 9547245570.
What is Tamara Ice'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 Tamara Ice is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Tamara Ice receive the assignment of its 1356487771 from the Centers for Medicare & Medicaid Services?
The Tamara Ice was issued its 1356487771 by the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the details pertaining to Tamara Ice last refreshed?
The information related to the Tamara Ice, including its address, specialty, and other relevant details, was last updated on 2012-03-30.
NPI Number: 1417950320
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