Individual provider · Type 1 NPI

Kaileen Banaszak Gaumer

Professional Counselor · Dixon, IL

NPI number 1093402984 Active

Practice location

629 N Galena Ave Ste 120
Dixon, IL 61021-1664

Call (815) 288-1235 Map

Mailing address

1212 Crestview Rd
Sterling, IL 61081-4314

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.005831 (IL)

Professional Counselor: Definition to come...

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About NPI 1093402984

Kaileen Banaszak Gaumer's National Provider Identifier is 1093402984, issued on Apr 20, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dixon, IL. The record was last updated on Apr 20, 2023.