Individual
MS. GOURI TAEJAH VEMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, MPH
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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