Individual
GERALD L CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Mailing address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166 000856
IL
Other
Enumeration date
09/24/2012
Last updated
10/05/2018
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