Most Relevant Information
Provider Data
| NPI Number: | 1003571456 |
| Provider Name: | TARA D SHELBY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2021 |
| Last Updated: | 11/01/2021 |
Provider Practice Location
9633 LEVIN RD NW STE 100
SILVERDALE
WA
983838132
Practice Location Phone/Fax
| Phone: | 3606985883 |
| Fax: | 3606985048 |
Provider Mailing Location
950 INSIGNIA LOOP APT 301
BREMERTON
WA
983102578
Provider Mailing Phone/Fax
| Phone: | 3608651544 |
| Fax: |