Ice, Tamara

Ice, Tamara is an individual health care provider with primary practice located at 820 Gravenstein Ave Ste 200 , Sebastopol CA 95472-4557. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ice, Tamara can be contacted via phone (707) 522-0473.

Contact Information

Primary practice address
820 Gravenstein Ave Ste 200 Sebastopol CA 95472-4557
Phone: (707) 522-0473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF44768 California

Profile Details

NPI number 1356487771
LBN Legal business name Ice, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 30th, 2012 - about 12 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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