MEDICARE: TAYLOR FRENCH LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	178.018141	IL

General Provider Information

NPI Number	:	1649782186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR FRENCH LPC

Provider Business Mailing Address
First Line	:	1754 N WASHINGTON ST # A1754N
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1334
Country	:	US
Telephone Number	:	630-995-3193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1754 N WASHINGTON ST STE 104A
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1462
Country	:	US
Telephone Number	:	630-995-3193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2017
Last Update Date	:	06/22/2022

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