Individual provider · Type 1 NPI
Johnette Diamond Tar, MA
Mental Health Counselor · Minneapolis, MN
NPI number
1679317085
Active
Practice location
5100 Edina Industrial Blvd Ste 214
Minneapolis, MN 55439-3005
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 1679317085
Johnette Diamond Tar, MA's National Provider Identifier is 1679317085, issued on Jun 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 20, 2024.