Provider Demographics
NPI:1801779087
Name:TREBESCH, TARA MARIE KRAMLICH (ACMHC, IHP, CFA, CN)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:MARIE KRAMLICH
Last Name:TREBESCH
Suffix:
Gender:F
Credentials:ACMHC, IHP, CFA, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 683060
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84068-3060
Mailing Address - Country:US
Mailing Address - Phone:435-565-1722
Mailing Address - Fax:
Practice Address - Street 1:1912 SIDEWINDER DR STE 201
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7257
Practice Address - Country:US
Practice Address - Phone:435-565-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health