Individual provider · Type 1 NPI

Tara Wellenreiter

Professional Counselor · Peoria, IL

NPI number 1962824326 Active

Practice location

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Call (309) 692-6622 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X180014988 (IL)
Professional Counselor 101YP2500X178010377 (IL)
Professional Counselor Primary 101YP2500X180014988 (IL)

Professional Counselor: Definition to come...

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About NPI 1962824326

Tara Wellenreiter's National Provider Identifier is 1962824326, issued on Jan 20, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Sep 13, 2023.