Individual provider · Type 1 NPI
Tara Katchmark, MA, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1457020604
Active
Practice location
1420 W Saint Germain St Ste 105
St. Cloud, MN 56301-4025
Fax (320) 314-1497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 306066 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1457020604
Tara Katchmark, MA, LADC's National Provider Identifier is 1457020604, issued on Sep 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Sep 10, 2021.