Individual provider · Type 1 NPI

Kathleen Ann Tatom

Mental Health Counselor · Grants Pass, OR

NPI number 1255749206 Active

Practice location

210 Tacoma St
Grants Pass, OR 97526-9370

Call (541) 476-3302 Map

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255749206

Kathleen Ann Tatom's National Provider Identifier is 1255749206, issued on Jul 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 22, 2014.