Provider Demographics
NPI:1144494337
Name:WILLIAMS, TAREN N (MA)
Entity type:Individual
Prefix:
First Name:TAREN
Middle Name:N
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TAREN
Other - Middle Name:N
Other - Last Name:GESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:223 N YAKIMA AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2230
Mailing Address - Country:US
Mailing Address - Phone:253-376-1096
Mailing Address - Fax:
Practice Address - Street 1:223 N YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2230
Practice Address - Country:US
Practice Address - Phone:253-237-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61155615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health