Tamara, Joan

Tamara, Joan is an individual health care provider with primary practice located at 12247 Stratford Dr , Clive IA 50325-8147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tamara, Joan can be contacted via phone (515) 393-6702.

Contact Information

Primary practice address
12247 Stratford Dr Clive IA 50325-8147
Phone: (515) 393-6702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 1619054335 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 095696 Iowa

Profile Details

NPI number 1588178537
LBN Legal business name Tamara, Joan
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Jul 14th, 2023 - about 2 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 1588178537 NPPES
Iowa MEDICAID 1821155284

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