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Individual

JOE GUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410
(773) 238-2828
Mailing address
10343 S WESTERN AVE, CHICAGO, IL 60643-2410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178006014
IL
101YP2500X
Professional Counselor
Primary
180007738
IL

Other

Enumeration date
02/19/2010
Last updated
11/07/2011
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