Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Marie Gaylord

Individual provider Mental Health Counselor · NPI 1154698983

Carolyn Marie Gaylord is a Mental Health Counselor in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

202 W Park Ave
Champaign, IL 61820-3929
Phone: (217) 373-2439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1154698983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011

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