Individual
WHITLEY TAYLER TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 W ROOSEVELT RD STE C1, WHEATON, IL 60187-2306
(630) 995-3193
Mailing address
1754 N WASHINGTON ST STE 104A, NAPERVILLE, IL 60563-1462
(630) 995-3193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178019494
IL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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