Individual
ALYSSA NICOLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
(847) 724-2620
Mailing address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
(847) 724-2620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017224
IL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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