person
Collene Taylor, LCPC
Professional Counselor in Rockford, Illinois
NPI 1306118120

Collene Taylor is a Professional Counselor based in Rockford, IL and is specialized in Professional. Collene Taylor practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Collene Taylor is 1306118120 and holds a License No. 180-008117 (Illinois).

The current practice location address for Collene Taylor is 7210 E State St, Rockford, IL and can be reached out via phone at 815-839-2064 and via fax at 815-839-2114.

Location: 7210 E State St, Rockford, IL, 61108-2622
person
Provider Profile Details
NPI Number
1306118120
Provider Name
Collene Taylor
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
7210 E State St, Rockford, IL, 61108-2622
Phone Number
815-839-2064
Fax Number
815-839-2114
Provider Enumeration Date
02/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21350 01 NATIONAL BOARD CERTIFIACTION
institution
Provider Business Practice Location Address Details
Address
7210 E State St
City
State
Zip
61108-2622
Phone Number
815-839-2064
Fax Number
815-839-2114
person
Provider Business Mailing Address Details
Address
7210 E State St
City
State
Zip
61108-2622
Phone Number
815-839-2064
Fax Number
815-839-2114
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-008117 (Illinois)
Definition
Definition to come...
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