Individual provider · Type 1 NPI
Carol Jean Collins Burchardt, LCPC
Professional Counselor · Rockford, IL
NPI number
1063531887
Active
Practice location
2440 Charles St, Suite 201
Rockford, IL 61108-1654
Mailing address
1403 Charlotte Ct
Rockford, IL 61108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180 003390 (IL) |
Professional Counselor: Definition to come...
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About NPI 1063531887
Carol Jean Collins Burchardt, LCPC's National Provider Identifier is 1063531887, issued on Mar 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jul 20, 2009.