Individual provider · Type 1 NPI

Carolyn Marie Gaylord

Mental Health Counselor · Champaign, IL

NPI number 1154698983 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 373-2439 Map

Mailing address

706 S State St, B
Champaign, IL 61820-8331

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

94 other providers at this address

Other mental health counselor providers in Champaign

See all in Champaign →

About NPI 1154698983

Carolyn Marie Gaylord's National Provider Identifier is 1154698983, issued on Nov 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Nov 22, 2011.