Tara Thor
Tara Thor is a Mental Health Counselor in Moline, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor.
- Years since qualifying
- 6
- In the registry since
- 2020
Practice location Address checks out
2200 52nd AveMoline, IL 61265-6308
Phone: (309) 797-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1447866447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2020 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
| Mailing address | 2200 52nd Ave, Moline, IL 61265-6308 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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