ERIC JON TANNER

ROSCOE, IL
NPI1689269003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.13458)
Enumeration Date2021-03-08
Last Update Date2024-11-22
Business Address
ERIC JON TANNER LCPC
11361 MAIN ST
ROSCOE, IL 61073-8851
Phone number: 779-212-4721
Mailing Address
ERIC JON TANNER LCPC
7431 E STATE ST STE 354
ROCKFORD, IL 61108-2678
Phone number: 779-212-4721
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