Individual
GINA MARIE MENCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1300 IROQUOIS AVE STE 145, NAPERVILLE, IL 60563-1389
(630) 305-0464
(630) 305-0211
Mailing address
208 W EVERGREEN ST, WHEATON, IL 60187-5202
(708) 209-9924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.005280
IL
101YP2500X
Professional Counselor
Primary
180.012726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.005280
LPC
IL
01
—
180.012726
LCPC
IL
Enumeration date
09/21/2018
Last updated
09/03/2025
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