Provider Demographics
NPI:1477085843
Name:SESSOMS, TARA DAWN (LPC, CSOTS)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:DAWN
Last Name:SESSOMS
Suffix:
Gender:F
Credentials:LPC, CSOTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 MEADOWLAND CT APT 3
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1616
Mailing Address - Country:US
Mailing Address - Phone:919-750-2125
Mailing Address - Fax:
Practice Address - Street 1:513 MEADOWLAND CT APT 3
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1616
Practice Address - Country:US
Practice Address - Phone:919-750-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional