National Provider Identifier

Tara Marie Fethers, BSW

Tara Marie Fethers, BSW is listed in the NPPES registry with a primary specialty of Counselor in Elmira, NY and a listed phone number of (607) 733-5696.

NPI 1649324666Elmira, NYCounselor

Profile Overview

NPI
1649324666
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 23, 2007
Last Updated
December 07, 2010

Practice Location

  • 1019 E Water St
  • Elmira, NY 14901-3332

Phone: (607) 733-5696

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1649324666
Entity Type
Individual
Last Name
Fethers
First Name
Tara
Middle Name
Marie
Credential
BSW
Mailing Street Address
1019 E Water St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3332
Mailing Country
US
Practice Street Address
1019 E Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3332
Practice Country
US
Practice Phone
(607) 733-5696
Enumeration Date
January 23, 2007
Last Updated
December 07, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)