Stadem, Tamara O

Stadem, Tamara O is an individual health care provider with primary practice located at 1700 Bogard Rd Suite 201, Wasilla AK 99654-6533. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stadem, Tamara O can be contacted via phone (907) 373-8080.

Contact Information

Primary practice address
1700 Bogard Rd Suite 201 Wasilla AK 99654-6533
Phone: (907) 373-8080
Fax: (907) 373-8081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 50 Alaska

Profile Details

NPI number 1659306116
LBN Legal business name Stadem, Tamara O
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1659306116 NPPES
Alaska MEDICAID MH4828

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