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TARAH NICOLE GERMAIN
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1013244821
Individual Registrant: TARAH NICOLE GERMAIN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3120 FREEBOARD DR STE 102 W SACRAMENTO, CA 95691-5039 US
Tel: 530-351-7975 Fax: --
Tel: 530-351-7975 Fax: --
Contact information for business:
333 SUNSET AVE STE 188 SUISUN CITY, CA 94585-2074 US
Tel: 707-422-2121 Fax: 707-422-2962
Tel: 707-422-2121 Fax: 707-422-2962
Registration Information:
NPI: 1013244821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | ||
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
