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Individual

MRS. JILL MARIE TALAVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC, CADC

Contact information

Practice address
2609 MONTEGA DR STE B, SPRINGFIELD, IL 62704-7011
(217) 773-0478
Mailing address
505 E WINEMAN ST, AUBURN, IL 62615-9728
(217) 971-3182

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178005539
IL

Other

Enumeration date
07/23/2010
Last updated
05/09/2026
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