Individual
AIMEE LOUISA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5129 W 105TH ST, OAK LAWN, IL 60453-5122
(708) 945-1642
Mailing address
5129 W 105TH ST, OAK LAWN, IL 60453-5122
(708) 945-1642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009188
IL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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