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NPI Profile for MRS. JILL M TALAVERA in SPRINGFIELD, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1578876173 |
|
| Status | Active | |
| Credentials | MA, LCPC, CADC | |
| Entity | Individual | |
| Enumeration date | 07/23/2010 | |
| Last updated | 05/09/2026 - About a month ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JILL M TALAVERA
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JILL M TALAVERA, MA, LCPC, CADC