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Individual

DR. DARAH ELAINE WALLSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
636 CHURCH ST STE 405, EVANSTON, IL 60201-4580
(847) 250-9959
(847) 306-8118
Mailing address
16-566 KEAAU PAHOA RD # 614, KEAAU, HI 96749-8137
(808) 756-5030

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.021040
IL
103TC0700X
Clinical Psychologist
Primary
4156
HI
103TC0700X
Clinical Psychologist
4187
NC

Other

Enumeration date
11/03/2011
Last updated
06/04/2025
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