Ender, Tamara L

Ender, Tamara L is an individual health care provider with primary practice located at 212 S 11Th Street , Lacrosse WI 54601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ender, Tamara L can be contacted via phone (608) 791-9555.

Contact Information

Primary practice address
212 S 11Th Street Lacrosse WI 54601
Phone: (608) 791-9555
Fax: (608) 791-9432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4232 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 486 Wisconsin

Profile Details

NPI number 1215975016
LBN Legal business name Ender, Tamara L
Credentials LMFT LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1215975016 NPPES
Wisconsin MEDICAID 39788900

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