Doctor Name: | TAMARA ANN VUKOVICH |
NPI Number: | 1003083742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSHS |
License Number: | |
Business Practice Address: | 320 H St Suite B Marysville, CA - 959015834 |
Business Phone Number: | 5307427747 |
Business Fax Number: | 5307427642 |
Mailing Address: | 9550 Cramer Rd, AUBURN |
State: | CA |
Postal Code: | 956029216 |
Phone Number: | 5308878870 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |