Individual provider · Type 1 NPI

Carly Kloubec

Professional Counselor · Rockford, IL

NPI number 1730554064 Active

Practice location

1601 N University Dr
Rockford, IL 61107-5317

Call (805) 391-1000 Map

Fax (815) 391-5040

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178009262 (IL)

Professional Counselor: Definition to come...

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About NPI 1730554064

Carly Kloubec's National Provider Identifier is 1730554064, issued on Dec 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Dec 11, 2015.