Organization
GRADIENT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HUDEC (PRACTICE OWNER)
(574) 276-4739
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(224) 458-4806
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(224) 458-4806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14378440
CAQH #
—
Enumeration date
01/10/2023
Last updated
01/10/2023
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