MEDICARE: MRS. TARRAH HARNDEN M.A., LMFT

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	106H00000X	Marriage & Family Therapist	MFC 51809	CA

General Provider Information

NPI Number	:	1992839377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TARRAH HARNDEN M.A., LMFT

Provider Business Mailing Address
First Line	:	PO BOX 205
Second Line	:
City	:	ETNA
State	:	CA
Zip	:	96027-0205
Country	:	US
Telephone Number	:	530-925-1469
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 PIG ALLEY
Second Line	:
City	:	ETNA
State	:	CA
Zip	:	96027-9998
Country	:	US
Telephone Number	:	530-925-1469
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	06/14/2019

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