Provider Demographics
NPI:1336853613
Name:JAMES, TAMRA REALTA (MA, LPC-C)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:REALTA
Last Name:JAMES
Suffix:
Gender:F
Credentials:MA, LPC-C
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Mailing Address - Street 1:PO BOX 695
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-0695
Mailing Address - Country:US
Mailing Address - Phone:405-390-8131
Mailing Address - Fax:405-835-2253
Practice Address - Street 1:14625 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-8728
Practice Address - Country:US
Practice Address - Phone:405-390-8131
Practice Address - Fax:405-835-2253
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional