Individual
GABRIELLE MAGNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(312) 213-5359
Mailing address
1705 S 4TH AVE, MAYWOOD, IL 60153-2116
(630) 747-1466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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