Tara Valentine

NPI #1972115988 in Bloomington, Illinois

Provider Information

NPI Number: 1972115988
Entity Type: Individual
Name: Tara Valentine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 20, 2020
Last Updated: Jan 5, 2023

Practice Location

Address: 2206 EASTLAND DR STE 101
City: Bloomington
State: Illinois
ZIP Code: 61704-7742
Phone: (217) 714-7042

Specialties & Taxonomy Codes

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

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