Most Relevant Information
Provider Data
| NPI Number: | 1003220658 |
| Provider Name: | TARA SYMONS LICSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | CG60338605 |
Most Important Dates
| Enumeration Date: | 06/11/2014 |
| Last Updated: | 06/11/2014 |
Provider Practice Location
500 N MORAIN ST
BLDG 1 STE 1250
KENNEWICK
WA
993362950
Practice Location Phone/Fax
| Phone: | 5097830500 |
| Fax: |
Provider Mailing Location
500 N MORAIN ST
BLDG 1 STE 1250
KENNEWICK
WA
993362950
Provider Mailing Phone/Fax
| Phone: | 5097830500 |
| Fax: |