Tara Wellenreiter

NPI #1962824326 in Peoria, Illinois

Provider Information

NPI Number: 1962824326
Entity Type: Individual
Name: Tara Wellenreiter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 20, 2014
Last Updated: Sep 13, 2023

Practice Location

Address: 6615 N BIG HOLLOW RD
City: Peoria
State: Illinois
ZIP Code: 61615-2450
Phone: (309) 692-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Professional — Professional	101YP2500X

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