| Doctor Name: | TARA LARSEN-OVERSTREET |
| NPI Number: | 1043492366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3100 Nw Bucklin Hill Rd Ste 234 Silverdale, WA - 983838365 |
| Business Phone Number: | 3605511458 |
| Business Fax Number: | |
| Mailing Address: | 1116 N Lafayette Ave, BREMERTON |
| State: | WA |
| Postal Code: | 983122859 |
| Phone Number: | 3603739455 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |