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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659306116 | NPPES |
| Alaska | MEDICAID | MH4828 |
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