Provider Demographics
NPI:1679974414
Name:WINFREE, TAMARA (PUBLIC HEALTH)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:
Last Name:WINFREE
Suffix:
Gender:F
Credentials:PUBLIC HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 21ST ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4722
Mailing Address - Country:US
Mailing Address - Phone:202-396-9329
Mailing Address - Fax:
Practice Address - Street 1:614 21ST ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4722
Practice Address - Country:US
Practice Address - Phone:202-396-9329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional