Healthcare Provider Details

I. General information

NPI: 1730629965
Provider Name (Legal Business Name): TARA MEUNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3478 BUSKIRK AVE
PLEASANT HILL CA
94523-4344
US

IV. Provider business mailing address

271 SAN REY PL
DANVILLE CA
94526-1840
US

V. Phone/Fax

Practice location:
  • Phone: 925-943-1794
  • Fax:
Mailing address:
  • Phone: 925-984-4286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number115873
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: