Jacque Tara Washington LCSW

  • 1265671150 NPI Number
  • |
  • Actived: 10 years ago
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According to our database, NPI number for Jacque Tara Washington LCSW is 1265671150 and actived since Tuesday, February 17 2009. Jacque Tara Washington LCSW is an individual provider specializes in Mental Health, primary practice location is 201 E. Green St, Ithaca, NY 14850. You can also contact Jacque Tara Washington LCSW via telephone number is (607) 274-6230. Provider NPI information was last updated on 11/30/2015.

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Overview of Jacque Tara Washington LCSW

  • NPI number: 1063059160
  • Provider type: Individual
  • Specialty: Mental Health
  • Gender: Female
  • Active since: 02/17/2009
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 075193-1
  • License State: NY

Provider Mailing Address

  • Address: 201 E. Green St
    Ithaca, NY 14850
  • Phone: 607-274-6230
  • Fax: 607-274-6316

Provider Practice Location

  • Address: 201 E. Green St
    Ithaca, NY 14850
  • Phone: 607-274-6230
  • Fax: 607-274-6316

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 075193-1
  • License State: NY
  • Switch: No

Question & Answers

What is the npi number?

  • Q: What is the npi number for Jacque Tara Washington LCSW?
  • A: The npi number for Jacque Tara Washington LCSW is 1265671150.
  • Q: What are Jacque Tara Washington LCSW's specialties?
  • A: Jacque Tara Washington LCSW's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Jacque Tara Washington LCSW?
  • A: The medical license number for Jacque Tara Washington LCSW is 075193-1 and issued in NY in USA.
  • Q: Where is Jacque Tara Washington LCSW practice location?
  • A: Jacque Tara Washington LCSW is practicing at 201 E. Green St, Ithaca, NY 14850.
  • Q: How to contact Jacque Tara Washington LCSW?
  • A: You can contact Jacque Tara Washington LCSW via 607-274-6230.