Individual
ELIZABETH GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
236 S WASHINGTON ST STE 212, NAPERVILLE, IL 60540-6698
(630) 243-5385
Mailing address
222 DORSET AVE, OSWEGO, IL 60543-6056
(630) 701-8843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
178012484
IL
101YP2500X
Professional Counselor
180012677
IL
Other
Enumeration date
01/30/2017
Last updated
08/17/2023
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