Anderson, Tara Elizabeth

Anderson, Tara Elizabeth is an individual health care provider with primary practice located at 212 11Th St S , La Crosse WI 54601-4397. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Tara Elizabeth can be contacted via phone (608) 392-9555.

Contact Information

Primary practice address
212 11Th St S La Crosse WI 54601-4397
Phone: (608) 392-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23328 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.012808 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8160-123 Wisconsin

Profile Details

NPI number 1780960575
LBN Legal business name Anderson, Tara Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated May 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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