Gervacio, Angela Maria

Gervacio, Angela Maria is an individual health care provider with primary practice located at 1001 Maple Ave , Downers Grove IL 60515-4928. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gervacio, Angela Maria can be contacted via phone (630) 353-0697.

Contact Information

Primary practice address
1001 Maple Ave Downers Grove IL 60515-4928
Phone: (630) 353-0697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.008051 Illinois

Profile Details

NPI number 1093107385
LBN Legal business name Gervacio, Angela Maria
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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