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Individual

BRIAN MATTHEW MCGANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
3139 N LINCOLN AVE STE 225, CHICAGO, IL 60657-3173
(773) 330-5702
Mailing address
5849 W HENDERSON ST, CHICAGO, IL 60634-4302
(773) 330-5702

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007604
IL

Other

Enumeration date
02/07/2011
Last updated
10/27/2023
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