CAROL JEAN COLLINS BURCHARDT

ROCKFORD, IL
NPI1063531887
Former NameCAROL JEAN COLLINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180 003390)
Enumeration Date2007-03-29
Last Update Date2009-07-20
Business Address
Mrs. CAROL JEAN COLLINS BURCHARDT LCPC
2440 CHARLES ST SUITE 201
ROCKFORD, IL 61108-1654
Phone number: 815-289-7209
Mailing Address
Mrs. CAROL JEAN COLLINS BURCHARDT LCPC
1403 CHARLOTTE CT
ROCKFORD, IL 61108
Phone number: 815-289-7209