Individual
GRISEL GERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
49 SHERWOOD TER STE R, LAKE BLUFF, IL 60044-2231
(847) 582-0588
(847) 278-8559
Mailing address
9904 W MICHIGAN BLVD, BEACH PARK, IL 60099-3854
(224) 730-3352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178013083
IL
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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