| Doctor Name: | TAMRA J OMAN |
| NPI Number: | 1033396197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFT 14379130 |
| License Number: | 14379130 |
| Business Practice Address: | 203 W Sunny Lane Janesville, WI - 53546 |
| Business Phone Number: | 6087414500 |
| Business Fax Number: | 6087414516 |
| Mailing Address: | 203 W Sunny Lane, JANESVILLE |
| State: | WI |
| Postal Code: | 53546 |
| Phone Number: | 6087414500 |
| Fax Number: | 6087414502 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 14379130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |