Individual
DANIEL GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 W DIVERSEY AVE STE 14, CHICAGO, IL 60647-1245
(224) 534-0331
Mailing address
3411 W DIVERSEY AVE STE 14, CHICAGO, IL 60647-1245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178014909
IL
Other
Enumeration date
06/26/2015
Last updated
04/13/2023
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