Individual
DR. TARA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
309 WEST 3, RUSHVILLE, NE 69360-0779
(308) 327-2026
(308) 327-2126
Mailing address
PO BOX 779, RUSHVILLE, NE 69360-0779
(308) 327-2026
(308) 327-2126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9694
NE
Other
Enumeration date
06/14/2013
Last updated
02/13/2018
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