Individual
CHRISTOPHER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2020 W 79TH ST, CHICAGO, IL 60620-5720
(773) 805-0147
(773) 785-7013
Mailing address
P.O BOX 528248, CHICAGO, IL 60652
(773) 805-0147
(773) 785-7013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007188
IL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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