Individual
MRS. GRETCHEN MARIE WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
(309) 589-2640
Mailing address
2220 W OVERBROOK DR, PEORIA, IL 61604-2352
(309) 690-8460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.01477
IL
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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