Provider Demographics
NPI:1740568393
Name:HILL, TAMERA LYNN (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TAMERA
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-0705
Mailing Address - Country:US
Mailing Address - Phone:608-770-7914
Mailing Address - Fax:
Practice Address - Street 1:319 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-0705
Practice Address - Country:US
Practice Address - Phone:608-770-7914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist