Tarae Blackmon, SUDP
Tarae Blackmon, SUDP is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
721 Fawcett Ave Ste 204Tacoma, WA 98402-5502
Phone: (253) 389-3383
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1760195481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP |
| Sole proprietor | No |
| NPI enumerated | December 27, 2022 |
| Last updated in NPPES | December 27, 2022 |
| Certification date | December 27, 2022 |
| Mailing address | 6536 A St, Tacoma, WA 98408-7308 |
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