Provider Demographics
NPI:1407374010
Name:HARRISON, TAMARA (MA, LMHCA, CMHS)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MA, LMHCA, CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3368 NORTHWEST AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-8856
Mailing Address - Country:US
Mailing Address - Phone:360-389-3703
Mailing Address - Fax:
Practice Address - Street 1:1106 HARRIS AVE STE 302
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7002
Practice Address - Country:US
Practice Address - Phone:360-389-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-03
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60845673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health