Individual
TARA ST. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8575 W 110TH ST STE 218, OVERLAND PARK, KS 66210-2620
(913) 712-4412
Mailing address
8575 W 110TH ST STE 218, OVERLAND PARK, KS 66210-2620
(913) 712-4412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC04829
KS
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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