Individual
INAE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 GUNDERSEN DR STE A, CAROL STREAM, IL 60188-2403
(630) 871-2100
Mailing address
336 GUNDERSEN DR STE A, CAROL STREAM, IL 60188-2403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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