Individual
MR. MIKHAIL GUROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MPH, CADC, MISA
Contact information
Practice address
8707 SKOKIE BLVD, SKOKIE, IL 60077-2269
(773) 216-2284
Mailing address
8707 SKOKIE BLVD, SKOKIE, IL 60077-2269
(773) 216-2284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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