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Individual

IVAN GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, NCC

Contact information

Practice address
31 W DOWNER PL STE 307308, AURORA, IL 60506-5123
(630) 733-9108
Mailing address
1013 LEGRANDE AVE, AURORA, IL 60506-6381
(630) 765-4147

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178018438
IL

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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