Individual
EMILY PARK GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRADC, CODP II
Contact information
Practice address
950 LAURELWOOD WAY, LANDRUM, SC 29356-8757
(773) 936-5666
Mailing address
950 LAURELWOOD WAY, LANDRUM, SC 29356-8757
(773) 936-5666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178012431
IL
101YM0800X
Mental Health Counselor
Primary
7180
SC
Other
Enumeration date
09/08/2016
Last updated
06/30/2021
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