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Organization

GOREHAM INCORPORATED

Active
Other names
Life Redefined Clinical Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER JAMES GOREHAM LCSW, CRADC, EMDR-II (OWNER)
(331) 264-5500
Entity
Organization

Contact information

Practice address
2150 MANCHESTER RD STE 110, WHEATON, IL 60187-2474
(331) 264-5500
(331) 264-6219
Mailing address
2150 MANCHESTER RD STE 110, WHEATON, IL 60187-2474
(331) 264-5500
(331) 264-6219

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149018949
IL
Enumeration date
05/31/2021
Last updated
11/10/2025
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