person
Tara L Thiele
Addiction (Substance Use Disorder) Counselor in Menomonie, Wisconsin
NPI 1720625049

Tara L Thiele is an Addiction (Substance Use Disorder) Counselor based in Menomonie, WI and is specialized in Addiction (Substance Use Disorder). Tara L Thiele practices in Menomonie, WI. The NPI Number for Tara L Thiele is 1720625049 and holds a License No. (Wisconsin).

The current practice location address for Tara L Thiele is 4076 Kothlow Ave, Menomonie, WI and can be reached out via phone at 715-235-4537.

Location: 4076 Kothlow Ave, Menomonie, WI, 54751-3090
person
Provider Profile Details
NPI Number
1720625049
Provider Name
Tara L Thiele
Credential
Provider Entity Type
Individual
Gender
Female
Address
4076 Kothlow Ave, Menomonie, WI, 54751-3090
Phone Number
715-235-4537
Fax Number
Provider Enumeration Date
12/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4076 Kothlow Ave
City
State
Zip
54751-3090
Phone Number
715-235-4537
Fax Number
person
Provider Business Mailing Address Details
Address
4076 Kothlow Ave
City
State
Zip
54751-3090
Phone Number
715-235-4537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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