Individual provider · Type 1 NPI
Tara Frey, RSA
Addiction (Substance Use Disorder) Counselor · Waterloo, IL
NPI number
1154908085
Active
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37711 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154908085
Tara Frey, RSA's National Provider Identifier is 1154908085, issued on Mar 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IL. The record was last updated on Dec 30, 2025.