Individual provider · Type 1 NPI

Virginia Desjarlais, PhD, LCPC

Professional Counselor · Rockford, IL

NPI number 1578840351 Active

Practice location

1243 N Church St
Rockford, IL 61103-6240

Call (815) 520-3193 Map

Mailing address

555 Colman Center Dr
Rockford, IL 61108-2747

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.006992 (IL)

Professional Counselor: Definition to come...

Other professional counselor providers in Rockford

See all in Rockford →

About NPI 1578840351

Virginia Desjarlais, PhD, LCPC's National Provider Identifier is 1578840351, issued on Nov 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Nov 8, 2011.