Individual
TARA SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 236-1157
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 236-1157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5701
WI
101YP2500X
Professional Counselor
5701-125
WI
Other
Enumeration date
08/14/2014
Last updated
08/22/2017
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