Individual
MS. GRETCHEN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N SCHUYLER AVE STE 205, KANKAKEE, IL 60901-3601
(815) 348-4508
Mailing address
202 N SCHUYLER AVE STE 205, KANKAKEE, IL 60901-3601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
07/26/2024
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