Individual
GREGORY LEE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.P.C.
Contact information
Practice address
264 LANGTON LN, BLOOMINGDALE, IL 60108-1922
(224) 289-2054
Mailing address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-5159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003430
IL
Other
Enumeration date
11/24/2006
Last updated
03/09/2021
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