Individual
MS. GOURI TAEJAH VEMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, MPH
Contact information
Practice address
180 N MICHIGAN AVE STE 410, CHICAGO, IL 60601-7488
(888) 726-7170
Mailing address
55 E ERIE ST APT 1802, CHICAGO, IL 60611-2248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.014252
IL
101YM0800X
Mental Health Counselor
178014252
IL
101YP2500X
Professional Counselor
Primary
180013580
IL
Other
Enumeration date
11/30/2018
Last updated
06/08/2021
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