Individual provider · Type 1 NPI
Tara Angela Booth
Mental Health Counselor · Queensbury, NY
NPI number
1366919615
Active
Practice location
1032 W Mountain Rd
Queensbury, NY 12804-8209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1366919615
Tara Angela Booth's National Provider Identifier is 1366919615, issued on Oct 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Queensbury, NY. The record was last updated on Jul 13, 2020.