Individual provider · Type 1 NPI

Tara Shawnise Brannon

Mental Health Counselor · Waukegan, IL

NPI number 1619869559 Active

Practice location

2410 Belvidere Rd
Waukegan, IL 60085-6165

Call (847) 377-8686 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

15 other providers at this address

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About NPI 1619869559

Tara Shawnise Brannon's National Provider Identifier is 1619869559, issued on Jul 16, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Jul 16, 2025.