Individual provider · Type 1 NPI

Nevadagabrielle Bennett, LPC

Mental Health Counselor · Downers Grove, IL

NPI number 1003452111 Active

Practice location

5117 Main St Ste 15
Downers Grove, IL 60515-4654

Call (630) 506-1491 Map

Mailing address

PO Box 5050
River Forest, IL 60305-5050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178015414 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1003452111

Nevadagabrielle Bennett, LPC's National Provider Identifier is 1003452111, issued on Nov 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Downers Grove, IL. The record was last updated on Nov 24, 2019.