Individual
CARLY KLOUBEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 N UNIVERSITY DR, ROCKFORD, IL 61107-5317
(805) 391-1000
(815) 391-5040
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178009262
IL
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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