| Tara Lidster, | |
|
111 N County Farm Rd, Wheaton, IL 60187-3977 | |
| (630) 682-7400 | |
| Not Available |
| Full Name | Tara Lidster |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 111 N County Farm Rd, Wheaton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114337953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lidster, 111 N County Farm Rd, Wheaton, IL 60187-3977 Ph: () - | Tara Lidster, 111 N County Farm Rd, Wheaton, IL 60187-3977 Ph: (630) 682-7400 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 | |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 | |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 | |
Mr. Stalin George, L.P.C Counselor Medicare: Medicare Enrolled Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-8042 | |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 |