Individual
MS. DIANNA KYRIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2011 N KNOXVILLE AVE, PEORIA, IL 61603-2414
(309) 687-7936
Mailing address
4010 N BRANDYWINE DR, APT 407, PEORIA, IL 61614-6866
(309) 687-7936
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178007538
IL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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