Doctor Name: | MRS. TAMARA OKELBERRY |
NPI Number: | 1003031428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | LCPC-3657 |
Business Practice Address: | 460 Main Ave S Ste C Twin Falls, ID - 833016400 |
Business Phone Number: | 2087347730 |
Business Fax Number: | |
Mailing Address: | 1102 S 2000 E # A, HAZELTON |
State: | ID |
Postal Code: | 833355464 |
Phone Number: | 2087347730 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCPC-3657 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |