MEDICARE: TAMARA CHRISTA LOUIS LCSW

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	282N00000X	General Acute Care Hospital	LCS 27671	CA
2	1041C0700X	Clinical Social Worker	LCS 27671	CA

General Provider Information

NPI Number	:	1861535981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA CHRISTA LOUIS LCSW

Provider Business Mailing Address
First Line	:	2314 IDAHO WAY
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-8468
Country	:	US
Telephone Number	:	530-329-5258
Fax Number	:

Provider Business Practice Location Address
First Line	:	2314 IDAHO WAY
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-8468
Country	:	US
Telephone Number	:	530-329-5258
Fax Number	:

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	11/10/2023

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