Individual
MS. JAN EILEEN GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC LICENSED CLINIC
Contact information
Practice address
333 SKOKIE BLVD, 114, NORTHBROOK, IL 60062-1613
(847) 337-5797
Mailing address
3223 W PARKWAY DR, 1-G, NORTHBROOK, IL 60062-7237
(847) 337-5797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006181
IL
Other
Enumeration date
01/23/2008
Last updated
12/15/2015
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