Individual
REBECCA GOSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
501 W STATE ST, SUITE 204, GENEVA, IL 60134-2149
(630) 726-7504
Mailing address
501 W STATE ST, SUITE 204, GENEVA, IL 60134-2149
(630) 726-7504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-003203
IL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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