MEDICARE: TARA CARNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	45C0C8FC40	CA

General Provider Information

NPI Number	:	1760355614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA CARNEY

Provider Business Mailing Address
First Line	:	68 BYRON AVE
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080
Country	:	US
Telephone Number	:	530-840-2004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1360 E LASSEN AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-7823
Country	:	US
Telephone Number	:	530-840-2004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	04/01/2026

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Directions to “ TARA CARNEY ” Practice Location

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