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TARAE BLACKMON SUDP
NPI 1760195481
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since December 27, 2022
721 FAWCETT AVE STE 204, TACOMA, WA 98402(253) 389-3383 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tarae Blackmon Sudp NPPES

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

TARAE BLACKMON SUDP (NPI 1760195481) is an individual addiction (substance use disorder) provider in Tacoma, Washington and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1760195481
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTARAE BLACKMONCredential: SUDP
Location Address721 FAWCETT AVE STE 204Tacoma, WA 98402-5502
Mailing Address6536 A StTacoma, WA 98408-7308 · (253) 754-7389
Phone(253) 389-3383
Sole ProprietorNo
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1760195481 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
721 FAWCETT AVE STE 204, Tacoma, WA 98402
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLEMA SAUILEONE MHT
Licensed Psychiatric Technician
721 FAWCETT AVE STE 204
TACOMA, WA 98402
Pierce County (253) 383-3921
JEAN CLAUDE BIANGANDU CISEKEDI
Registered Nurse
721 FAWCETT AVE STE 204
TACOMA, WA 98402
Pierce County (253) 383-3921
MEIKEL ADRIAN PREVOST
Case Manager/Care Coordinator
721 FAWCETT AVE STE 204
TACOMA, WA 98402
Pierce County (253) 473-7586
LAURA ANNE CLEMONS
Case Manager/Care Coordinator
721 FAWCETT AVE STE 204
TACOMA, WA 98402
Pierce County (253) 290-9054
JAMES DONRAY SKINNER
Technician/Technologist
721 FAWCETT AVE STE 204
TACOMA, WA 98402
Pierce County (253) 383-3921

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 Tarae Blackmon's NPI number?

The NPI number for Tarae Blackmon is 1760195481. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Tarae Blackmon located?

Tarae Blackmon practices at 721 Fawcett Ave Ste 204, Tacoma, WA 98402. The listed phone number is (253) 389-3383.

What is Tarae Blackmon'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 Tarae Blackmon was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.