MEDICARE: MS. TAMMY JO ZARN LPC

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	101YP2500X	Professional Counselor	4836-125	WI

General Provider Information

NPI Number	:	1932439577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMMY JO ZARN LPC

Provider Business Mailing Address
First Line	:	PO BOX 105
Second Line	:
City	:	BALSAM LAKE
State	:	WI
Zip	:	54810-0105
Country	:	US
Telephone Number	:	715-318-1319
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 MAIN ST STE 205
Second Line	:
City	:	BALSAM LAKE
State	:	WI
Zip	:	54810-7264
Country	:	US
Telephone Number	:	715-319-1319
Fax Number	:

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

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	04/15/2026

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