person
Eric Jon Tanner, LCPC
Professional Counselor in Rockford, Illinois
NPI 1689269003

Eric Jon Tanner is a Professional Counselor based in Rockford, IL and is specialized in Professional. Eric Jon Tanner practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Eric Jon Tanner is 1689269003 and holds a License No. 180.13458 (Illinois).

The current practice location address for Eric Jon Tanner is 3716 Marieme Dr, Rockford, IL and can be reached out via phone at 630-390-4110.

Location: 3716 Marieme Dr, Rockford, IL, 61108-1933
person
Provider Profile Details
NPI Number
1689269003
Provider Name
Eric Jon Tanner
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3716 Marieme Dr, Rockford, IL, 61108-1933
Phone Number
630-390-4110
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3716 Marieme Dr
City
State
Zip
61108-1933
Phone Number
630-390-4110
Fax Number
person
Provider Business Mailing Address Details
Address
3716 Marieme Dr
City
State
Zip
61108-1933
Phone Number
630-390-4110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.13458 (Illinois)
Definition
Definition to come...
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