Individual
MRS. TARA DICKHERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
122 S 3RD ST, LOUISIANA, MO 63353-2060
(573) 754-0348
(573) 754-5895
Mailing address
122 S 3RD ST, LOUISIANA, MO 63353-2060
(573) 754-0348
(573) 754-5895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2001022068
MO
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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