Taylor Blake Ross

NPI #1790467074 in Wheaton, Illinois

Provider Information

NPI Number: 1790467074
Entity Type: Individual
Name: Taylor Blake Ross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 4, 2023
Last Updated: Aug 4, 2023

Practice Location

Address: 212 S MAIN ST
City: Wheaton
State: Illinois
ZIP Code: 60187-5232
Phone: (630) 664-1449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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