Individual
MR. GARY ANTHONY DELEONARDIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5751 W HENDERSON ST, CHICAGO, IL 60634-4331
(312) 560-7485
Mailing address
5751 W HENDERSON ST, CHICAGO, IL 60634-4331
(312) 560-7485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180009944
IL
101YM0800X
Mental Health Counselor
Primary
180009944
IL
101YP2500X
Professional Counselor
180009944
IL
Other
Enumeration date
02/02/2016
Last updated
01/07/2022
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