Individual provider · Type 1 NPI

Tara Jean Teachout

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1114358306 Active

Practice location

2550 E. Foothill Blvd, Pacific Clinics
Pasadena, CA 91107

Call (626) 463-1021 Map

Fax (626) 578-0948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114358306

Tara Jean Teachout's National Provider Identifier is 1114358306, issued on Dec 12, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Dec 12, 2013.