Individual
GABRIEL TIJERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 377-8650
Mailing address
40533 N TERRY LN, ANTIOCH, IL 60002-8008
(847) 650-9209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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