Provider Demographics
NPI:1841486909
Name:MUNOZ, TAMARA ADAMS (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:ADAMS
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 DELBERT DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-3056
Mailing Address - Country:US
Mailing Address - Phone:919-734-6208
Mailing Address - Fax:919-734-6208
Practice Address - Street 1:204 DELBERT DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9056
Practice Address - Country:US
Practice Address - Phone:919-734-6208
Practice Address - Fax:919-734-6208
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional