Provider Demographics
NPI:1851981625
Name:TOLSON, TASCA (PLPC)
Entity Type:Individual
Prefix:
First Name:TASCA
Middle Name:
Last Name:TOLSON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 HERIFORD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1942
Mailing Address - Country:US
Mailing Address - Phone:573-639-1094
Mailing Address - Fax:573-234-4006
Practice Address - Street 1:1804 HERIFORD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1942
Practice Address - Country:US
Practice Address - Phone:573-639-1094
Practice Address - Fax:573-234-4006
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021002289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional