TARA ROSE FENNEL

LONGVIEW, WA
NPI1629555180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG60878074)
Enumeration Date2018-07-26
Last Update Date2018-07-26
Business Address
TARA ROSE FENNEL CAAR
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
Mailing Address
TARA ROSE FENNEL CAAR
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419