Individual
MRS. ANGELA MARIA GERVACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1001 MAPLE AVE, DOWNERS GROVE, IL 60515-4928
(630) 353-0697
Mailing address
1001 MAPLE AVE, DOWNERS GROVE, IL 60515-4928
(630) 353-0697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.008051
IL
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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