Individual
TARA TURNER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
19935
Contact information
Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3333
(708) 922-2062
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3333
(708) 922-2062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19935
ILLINOIS CERTIFICATION BOARD INCORPARATED
IL
Enumeration date
04/07/2016
Last updated
04/07/2016
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