| Doctor Name: | TAMARA SOAL |
| NPI Number: | 1497168801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PPC-837 |
| Business Practice Address: | 1215 Sw G St Grants Pass, OR - 975262544 |
| Business Phone Number: | 5414762373 |
| Business Fax Number: | 5414761526 |
| Mailing Address: | 1215 Sw G St, GRANTS PASS |
| State: | OR |
| Postal Code: | 975262544 |
| Phone Number: | 5414762373 |
| Fax Number: | 5414761526 |
| NPI Enumeration Date: | 06/04/2014 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | PPC-837 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| 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 |