| Doctor Name: | TARA SYMONS |
| NPI Number: | 1003220658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSWA |
| License Number: | CG60338605 |
| Business Practice Address: | 500 N Morain St Bldg 1 Ste 1250 Kennewick, WA - 993362950 |
| Business Phone Number: | 5097830500 |
| Business Fax Number: | |
| Mailing Address: | 500 N Morain St, Bldg 1 Ste 1250 KENNEWICK |
| State: | WA |
| Postal Code: | 993362950 |
| Phone Number: | 5097830500 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2014 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CG60338605 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |