Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003134339 |
---|---|
Provider Name | Tara Mcguire |
First Address | Oceanside, CA 92054-4443 |
Second Address | Oceanside, CA 92054-4443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2010 |
Last Update Date | 11/05/2010 |