Tara Dickherber is a Counselor in Louisiana, Missouri. Tara Dickherber practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tara Dickherber is 1083704852. The last update date is 2007-07-08.
Tara Dickherber's current location address is 122 S 3rd St, Louisiana, Missouri. You can contact this provider via phone number 5737540348 and fax number 5737545895. The mailing address for Tara Dickherber is 122 S 3rd St, Louisiana, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Dickherber |
|---|---|
| Address | 122 S 3rd St, Louisiana, Missouri |
| Phone Number | 5737540348 |
| Fax Number | 5737545895 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1083704852 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 122 S 3rd St |
|---|---|
| City | Louisiana |
| State | Missouri (MO) |
| Post Code | 633532060 |
| Phone Number | 5737540348 |
| Fax Number | 5737545895 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 2001022068 |
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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 supe |
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What is the Tara Dickherber's unique identification number?
The Tara Dickherber has been assigned the NPI (National Provider Identifier) Number 1083704852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Tara Dickherber is physically located?
The Tara Dickherber is situated at the following address: 122 S 3Rd St, Louisiana, MO 633532060.
What is the Tara Dickherber's specialty and taxonomy code?
The Tara Dickherber's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083704852 to Tara Dickherber?
The Centers for Medicare & Medicaid Services originally issued the 1083704852 to Tara Dickherber on 2006-10-13.
As of what date were the Tara Dickherber's details last updated?
The information pertaining to the Tara Dickherber, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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