Individual
GARY MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3436 N KENNICOTT AVE, ARLINGTON HEIGHTS, IL 60004-7814
(847) 952-7460
(847) 222-1754
Mailing address
3436 N KENNICOTT AVE, ARLINGTON HEIGHTS, IL 60004-7814
(847) 952-7460
(847) 222-1754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180002991
IL
101YP2500X
Professional Counselor
Primary
180002991
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081646697
BCBS
IL
Enumeration date
08/17/2006
Last updated
11/06/2024
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