Organization
GATES OF HOPE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARTHA GATES LPC (CEO/CLINICAL THERAPIST)
(708) 837-4673
Entity
Organization
Contact information
Practice address
1525 EAST 53RD STREET, SUITE #503, CHICAGO, IL 60615
(708) 837-4673
Mailing address
500 PARK AVENUE, UNIT #631, CALUMET CITY, IL 60409-5034
(708) 837-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
11/29/2011
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