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Ms. Tara L Ellestad, LPC
Counselor in Darlington, Wisconsin
NPI 1215005798

Tara L Ellestad is a Counselor based in Madison, WI. Tara L Ellestad practices in Darlington, WI and has the professional credentials of LPC. The NPI Number for Tara L Ellestad is 1215005798 and holds a License No. 3453 (Wisconsin).

The current practice location address for Tara L Ellestad is 627 Main St, Darlington, WI and can be reached out via phone at 608-776-4800 and via fax at 608-776-4914.

Location: 627 Main St, Darlington, WI, 53719-2092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215005798
Provider Name
Tara L Ellestad
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
627 Main St, Darlington, WI, 53719-2092
Phone Number
608-776-4800
Fax Number
608-776-4914
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40966400 05 WI
institution
Provider Business Practice Location Address Details
Address
627 Main St
City
Darlington
State
Wisconsin
Zip
53530-1395
Phone Number
608-776-4800
Fax Number
608-776-4914
person
Provider Business Mailing Address Details
Address
627 Main St
City
Darlington
State
Wisconsin
Zip
53530-1395
Phone Number
608-776-4800
Fax Number
608-776-4914
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3453 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3453 (Wisconsin)
Definition
Definition to come...
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