Individual provider · Type 1 NPI

Tara Jerray Vargas-Tucker, MA, LPC

Professional Counselor · Mission, SD

NPI number 1104398718 Active

Practice location

101 Antelope Circle
Mission, SD 57555-5755

Fax (605) 856-8124

Mailing address

PO Box 105
Mission, SD 57555-0105

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC7267 (SD)

Professional Counselor: Definition to come...

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About NPI 1104398718

Tara Jerray Vargas-Tucker, MA, LPC's National Provider Identifier is 1104398718, issued on Dec 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mission, SD. The record was last updated on Dec 20, 2018.