Doctor Name: | MRS. TAMARA LYNN KULCHAR |
NPI Number: | 1588953442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6401009762 |
Business Practice Address: | 100 N River St Fenton, MI - 484302695 |
Business Phone Number: | 8102659450 |
Business Fax Number: | |
Mailing Address: | P.o.box 746, GRAND BLANC |
State: | MI |
Postal Code: | 48480 |
Phone Number: | 8102659450 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009762 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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 |