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Individual

GINA MICHELLE BRENNWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
330 W TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3552
(815) 382-9691
Mailing address
330 W TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3552
(815) 382-9691

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178006175
IL

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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