Individual
ABBY GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3301 W 111TH ST, CHICAGO, IL 60655-2715
(312) 469-0486
Mailing address
3301 W 111TH ST, CHICAGO, IL 60655-2715
(312) 469-0486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180012811
IL
101YP2500X
Professional Counselor
178012284
IL
Other
Enumeration date
03/14/2018
Last updated
02/14/2020
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