Provider Demographics
NPI:1326188988
Name:HARO, TONY A (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:A
Last Name:HARO
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NE 7TH ST
Mailing Address - Street 2:SUITE # 214
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-1632
Mailing Address - Country:US
Mailing Address - Phone:541-787-4217
Mailing Address - Fax:541-471-8841
Practice Address - Street 1:777 NE 7TH ST
Practice Address - Street 2:SUITE # 214
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1632
Practice Address - Country:US
Practice Address - Phone:541-787-4217
Practice Address - Fax:541-471-8841
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health