person
Carolyn Marie Gaylord
Mental Health Counselor in Champaign, Illinois
NPI 1154698983

Carolyn Marie Gaylord is a Mental Health Counselor based in Champaign, IL and is specialized in Mental Health. Carolyn Marie Gaylord practices in Champaign, IL. The NPI Number for Carolyn Marie Gaylord is 1154698983 and holds a License No. (Illinois).

The current practice location address for Carolyn Marie Gaylord is 202 W Park Ave, Champaign, IL and can be reached out via phone at 217-373-2439.

Location: 202 W Park Ave, Champaign, IL, 61820-8331
person
Provider Profile Details
NPI Number
1154698983
Provider Name
Carolyn Marie Gaylord
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Champaign, IL, 61820-8331
Phone Number
217-373-2439
Fax Number
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2439
Fax Number
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2439
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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