Individual
HOLLY GOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCPC
Contact information
Practice address
2334 W LAWRENCE AVE, SUITE 203, CHICAGO, IL 60625-1948
(773) 850-1650
Mailing address
2334 W LAWRENCE AVE, SUITE 203, CHICAGO, IL 60625-1948
(773) 850-1650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
09/14/2016
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