Provider Demographics
NPI:1205239118
Name:ARES, TAMAR (MA DEGREE, LPC)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:
Last Name:ARES
Suffix:
Gender:F
Credentials:MA DEGREE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7849 GLENISTER DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2007
Mailing Address - Country:US
Mailing Address - Phone:303-717-9517
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE 518
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7173
Practice Address - Country:US
Practice Address - Phone:303-717-9517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2019-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health