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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