Individual
MRS. GENA WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5702 ELAINE DR STE 201, ROCKFORD, IL 61108-2475
(815) 997-4829
(779) 888-6892
Mailing address
3209 CROSS HAVEN CLOSE, ROCKFORD, IL 61114-7714
(815) 997-4928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.006972
IL
Other
Enumeration date
02/16/2018
Last updated
10/03/2022
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