Individual provider · Type 1 NPI

Hazel Mae Gordon

Mental Health Counselor · Libertyville, IL

NPI number 1003690611 Active

Practice location

1113 S Milwaukee Ave
Libertyville, IL 60048-3758

Call (847) 748-0341 Map

Fax (847) 748-0341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003690611

Hazel Mae Gordon's National Provider Identifier is 1003690611, issued on Aug 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Libertyville, IL. The record was last updated on Aug 23, 2023.