Provider Demographics
NPI:1659567675
Name:FOREMAN, TAMARINE M (LPCC)
Entity Type:Individual
Prefix:
First Name:TAMARINE
Middle Name:M
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 592
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-0592
Mailing Address - Country:US
Mailing Address - Phone:614-417-1573
Mailing Address - Fax:614-448-4477
Practice Address - Street 1:11 N HIGH ST
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1160
Practice Address - Country:US
Practice Address - Phone:614-417-1573
Practice Address - Fax:614-448-4477
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0007859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional