TAMA MARIE MCKIBBIN
NPI 1578735650
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Q: What is Tama Mckibbin's NPI number?

The NPI number for Tama Mckibbin is 1578735650. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Q: What is Tama Mckibbin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tama Mckibbin was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2008

1901 CLEVELAND AVE, #B, SANTA ROSA TREATMENT PROGRAM, SANTA ROSA, CA 95401(707) 576-0818(707) 576-7845 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tama Marie Mckibbin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMA MARIE MCKIBBIN (NPI 1578735650) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (RI-M1301282236) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1578735650

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTAMA MARIE MCKIBBIN

Location Address1901 CLEVELAND AVE, #B, SANTA ROSA TREATMENT PROGRAMSanta Rosa, CA 95401

Mailing Address1901 Cleveland Ave, #b, Santa Rosa Treatment ProgramSanta Rosa, CA 95401 · (707) 576-0818 · Fax (707) 576-7845

Phone(707) 576-0818

Fax(707) 576-7845

Sole ProprietorNo

Enumeration DateMarch 28, 2008

Last NPPES UpdateAugust 19, 2013

✔ NPI 1578735650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · RI-M1301282236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tama Mckibbin's NPI number?

The NPI number for Tama Mckibbin is 1578735650. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Tama Mckibbin located?

Tama Mckibbin practices at 1901 Cleveland Ave, #b Santa Rosa Treatment Program, Santa Rosa, CA 95401. The listed phone number is (707) 576-0818.

What is Tama Mckibbin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tama Mckibbin was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.