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Tara Valentine
Counselor in Bloomington, Illinois
NPI 1972115988

Tara Valentine is a Counselor based in Bloomington, IL. Tara Valentine practices in Bloomington, IL. The NPI Number for Tara Valentine is 1972115988 and holds a License No. (Illinois).

The current practice location address for Tara Valentine is 2206 Eastland Dr Ste 101, Bloomington, IL and can be reached out via phone at 217-714-7042.

Location: 2206 Eastland Dr Ste 101, Bloomington, IL, 61704-7742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972115988
Provider Name
Tara Valentine
Credential
Provider Entity Type
Individual
Gender
Female
Address
2206 Eastland Dr Ste 101, Bloomington, IL, 61704-7742
Phone Number
217-714-7042
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2206 Eastland Dr Ste 101
City
Bloomington
State
Illinois
Zip
61704-7742
Phone Number
217-714-7042
Fax Number
person
Provider Business Mailing Address Details
Address
2206 Eastland Dr Ste 101
City
Bloomington
State
Illinois
Zip
61704-7742
Phone Number
217-714-7042
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178.018114 (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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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