Provider Demographics
NPI:1912502329
Name:DUFRENE, TASHA (PHD)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:DUFRENE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 TULIPAN WAY
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-8630
Mailing Address - Country:US
Mailing Address - Phone:831-818-6821
Mailing Address - Fax:
Practice Address - Street 1:1 SCALE AVE STE 306
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4452
Practice Address - Country:US
Practice Address - Phone:802-342-4797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC10252101YP2500X
VT097.0134416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional