Provider Demographics
NPI:1649583691
Name:NANCE, TAMARA JUNE (LMFT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:JUNE
Last Name:NANCE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:ANDRIANOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1047 MARK WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-0612
Mailing Address - Country:US
Mailing Address - Phone:415-302-0056
Mailing Address - Fax:
Practice Address - Street 1:1047 MARK WAY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706
Practice Address - Country:US
Practice Address - Phone:415-531-3983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97354106H00000X
NV2721-R106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist