Individual provider · Type 1 NPI

Eric Jon Tanner, LCPC

Professional Counselor · Rockford, IL

NPI number 1689269003 Active

Practice location

5301 E State St Ste 106
Rockford, IL 61108-2388

Call (779) 212-4721 Map

Mailing address

7431 E State St Ste 354
Rockford, IL 61108-2678

Other practice locations

  • 5906 Elaine Dr Ste 109, Rockford, IL 61108-2467 · (779) 212-4721
  • 3716 Marieme Dr, Rockford, IL 61108-1933 · (630) 390-4110

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.13458 (IL)

Professional Counselor: Definition to come...

2 other providers at this address

Other professional counselor providers in Rockford

See all in Rockford →

About NPI 1689269003

Eric Jon Tanner, LCPC's National Provider Identifier is 1689269003, issued on Mar 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jun 9, 2026.