Tara Katchmark, MA, LADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Saint Cloud, MN
- NPI
- 1457020604
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 306066 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
Practice location
1420 W Saint Germain St Ste 105
Saint Cloud, MN 56301-4025
(320) 313-6116