Individual
CYNTHIA L GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
(309) 671-8039
Mailing address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8000
(309) 671-8039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.003914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.003914
ILLINOIS LICENSE
IL
Enumeration date
10/25/2012
Last updated
10/25/2012
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