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Provider Information for 1316044787


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TARA L. HILLER LMHC


Sex: Female

NPI: 1316044787
Last Updated: 2011-01-10
Certification Date:

Details

NameValue
NPI1316044787
Enumeration Date2006-09-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1803 W MAXWELL AVE
SPOKANE, WA 99201-2831
United States

Phone: 509-483-7535 | Fax:
 
Primary Practice Address 1803 W MAXWELL AVE
SPOKANE, WA 99201-2831
United States

Phone: 509-483-7535 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMT0179439
MEDICAIDWA1316044787
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalMT1259
Yes 101YM0800X - Counselor - Mental HealthWALH60134872