Individual
ELIZABETH JOANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
440 W BOUGHTON RD STE 200E, BOLINGBROOK, IL 60440-4510
(773) 240-0999
(630) 597-9263
Mailing address
519 SILVER FALLS ST, JOLIET, IL 60431-8396
(773) 240-0999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.012224
IL
101YP2500X
Professional Counselor
Primary
180.012852
IL
Other
Enumeration date
03/19/2019
Last updated
11/20/2023
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