Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Ann Petersen

Individual provider Counselor · NPI 1760263040

Tara Ann Petersen is a Counselor in Ewa Beach, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.

Licensed in
HI
In the registry since
2023

Practice location Address checks out

91-1841 Fort Weaver Rd
Ewa Beach, HI 96706-1909
Phone: (808) 343-4495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (HI)

Record details

NPI number1760263040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909

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