Organization · Type 2 NPI
Ta Mara's Promise, LLC
Addiction (Substance Use Disorder) Counselor · Newport, VA
NPI number
1790221802
Active
Practice location
2601 West Ave, Ste: 201
Newport, VA 23607
Fax (757) 223-8100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710102326 (VA) |
| Mental Health Counselor | 101YM0800X | 070105823 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1790221802
Ta Mara's Promise, LLC's National Provider Identifier is 1790221802, issued on Jan 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport, VA. The record was last updated on Jan 12, 2017.