Provider Demographics
NPI:1992839377
Name:HARNDEN, TARRAH (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TARRAH
Middle Name:
Last Name:HARNDEN
Suffix:
Gender:F
Credentials:MA, LMFT
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 205
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:CA
Mailing Address - Zip Code:96027-0205
Mailing Address - Country:US
Mailing Address - Phone:530-925-1469
Mailing Address - Fax:
Practice Address - Street 1:428 PIG ALLEY
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:CA
Practice Address - Zip Code:96027-9998
Practice Address - Country:US
Practice Address - Phone:530-925-1469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51809106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist