Beacon of Enlightenment

NPI #1376200550 in Rockford, Illinois

Provider Information

NPI Number: 1376200550
Entity Type: Organization
Organization Name: Beacon of Enlightenment
Primary Specialty: Counselor
Enumeration Date: Nov 22, 2021
Last Updated: Apr 14, 2025

Practice Location

Address: 6072 BRYNWOOD DR STE 201
City: Rockford
State: Illinois
ZIP Code: 61114-5829
Phone: (815) 564-8633

Authorized Official

Name: CRISY GOWAN, LCPC
Title: OWNER
Phone: (815) 564-8633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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