Individual
MRS. GILLIAN DECLARK TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
2653 W OGDEN AVE, 2ND FLOOR, CHICAGO, IL 60608-1647
(770) 257-5312
(773) 257-5330
Mailing address
2653 W OGDEN AVE, 2ND FLOOR, CHICAGO, IL 60608-1647
(770) 257-5312
(773) 257-5330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008695
IL
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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