Search › California › 101YA0400X
Tama Mckibbin
NPI 1578735650 · on the registry since 2008
Practice
- Address
- 1901 Cleveland Ave, #B
Santa Rosa Treatment Program
Santa Rosa, CA 95401 - Phone
- (707) 576-0818
- Fax
- (707) 576-7845
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California