Organization
CAMILLE MAYHALL GEHRENBECK, MS, CRC, LCPC, LTD
Active
Organization
CAMILLE MAYHALL GEHRENBECK, MS, CRC, LCPC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE MAYHALL GEHRENBECK (PRESIDENT)
(773) 450-3162
Entity
Organization
Contact information
Practice address
4852 N HOYNE AVE, CHICAGO, IL 60625-1408
(773) 450-3162
(312) 284-8865
Mailing address
4852 N HOYNE AVE, CHICAGO, IL 60625-1408
(773) 450-3162
(312) 284-8865
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
060011681
IL
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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