Female

Mrs. Tara Dickherber LPC

Counselor in Louisiana, MO(View on Map)

Full Name

Mrs. Tara Dickherber LPC

NPI Number

1083704852

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/13/2006

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Missouri

License Number

2001022068

Contact
Information

Purpose

Mailing
Location

Address

122 S 3RD ST
122 S 3RD ST

City

Louisiana
Louisiana

State

MO
MO

Postal Code

63353-2060
63353-2060

Country

US
US

Telephone Number

(573) 754-0348
(573) 754-0348

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address