Taylor, Jennifer Rebecca

Taylor, Jennifer Rebecca is an individual health care provider with primary practice located at 2619 W Heading Ave # 213 , West Peoria IL 61604-4971. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Taylor, Jennifer Rebecca can be contacted via phone (309) 490-3060.

Contact Information

Primary practice address
2619 W Heading Ave # 213 West Peoria IL 61604-4971
Phone: (309) 490-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.018302 Illinois

Profile Details

NPI number 1366162224
LBN Legal business name Taylor, Jennifer Rebecca
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers