Organization
BLAIN AND ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD BLAIN MS, LCPC (PRESIDENT)
(847) 791-5928
Entity
Organization
Contact information
Practice address
135 N. GREENLEAF, SUITE 212, GURNEE, IL 60031
(847) 791-5928
(847) 223-0887
Mailing address
PO BOX 855, GRAYSLAKE, IL 60030-0855
(847) 791-5928
(847) 223-0887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002267
IL
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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