MS. Tara L Ellestad, LPC

NPI #1215005798 in Darlington, Wisconsin

Provider Information

NPI Number: 1215005798
Entity Type: Individual
Name: MS. Tara L Ellestad, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Dec 1, 2006
Last Updated: Jun 8, 2015

Practice Location

Address: 627 MAIN ST
City: Darlington
State: Wisconsin
ZIP Code: 53530-1395
Phone: (608) 776-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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