Individual
GAYLA RENEA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180007036
IL
101YP2500X
Professional Counselor
Primary
180007036
IL
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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