Individual
CHAD GAYNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(844) 756-8600
Mailing address
4728 ARBOR DR APT 213, ROLLING MEADOWS, IL 60008-3065
(419) 508-4045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
178011944
IL
101YP2500X
Professional Counselor
Primary
180011353
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2014
Last updated
03/17/2018
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