TARA LIDSTER
Counselor - Mental Health
Active
Individual
NPI: 1114337953
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1114337953 is the National Provider Identifier for TARA LIDSTER, a Counselor - Mental Health provider located in Wheaton, IL. This NPI was enumerated on May 1, 2014.
TARA LIDSTER practices at 111 N COUNTY FARM RD, Wheaton, IL 60187.
Quick Facts
- NPI
- 1114337953
- Type
- Individual
- Enumerated
- May 1, 2014
- Last Updated
- May 1, 2014
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