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NPI Code Detail

MEDICARE: MS. TAMARA MARIE WRIGHT CMHC

MEDICARE: MS. TAMARA MARIE WRIGHT CMHC
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
1101YM0800XMental Health Counselor98540096009UT

General Provider Information

NPI Number : 1013215789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMARA MARIE WRIGHT CMHC
Provider Business Mailing Address
First Line : PO BOX 521718
Second Line :
City : SLC
State : UT
Zip : 84152
Country : US
Telephone Number : 801-815-1706
Fax Number :
Provider Business Practice Location Address
First Line : 990 VILLA ST
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94041-1236
Country : US
Telephone Number : 801-815-1706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2011
Last Update Date : 12/20/2023

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