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Tara Wellenreiter
Professional Counselor in Peoria, Illinois
NPI 1962824326

Tara Wellenreiter is a Professional Counselor based in Peoria, IL and is specialized in Professional. Tara Wellenreiter practices in Peoria, IL. The NPI Number for Tara Wellenreiter is 1962824326 and holds a License No. 180014988 (Illinois).

The current practice location address for Tara Wellenreiter is 6615 N Big Hollow Rd, Peoria, IL and can be reached out via phone at 309-692-6622.

Location: 6615 N Big Hollow Rd, Peoria, IL, 61615-2450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962824326
Provider Name
Tara Wellenreiter
Credential
Provider Entity Type
Individual
Gender
Female
Address
6615 N Big Hollow Rd, Peoria, IL, 61615-2450
Phone Number
309-692-6622
Fax Number
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6615 N Big Hollow Rd
City
Peoria
State
Illinois
Zip
61615-2450
Phone Number
309-692-6622
Fax Number
person
Provider Business Mailing Address Details
Address
6615 N Big Hollow Rd
City
Peoria
State
Illinois
Zip
61615-2450
Phone Number
309-692-6622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178010377 (Illinois)
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
Professional
Taxonomy
101YP2500X
License No.
180014988 (Illinois)
Definition
Definition to come...
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