Individual provider · Type 1 NPI
Lori Gendron
Professional Counselor · Chicago, IL
NPI number
1104191147
Active
Practice location
5710 N Broadway St
Chicago, IL 60660-4302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.009781 (IL) |
Professional Counselor: Definition to come...
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About NPI 1104191147
Lori Gendron's National Provider Identifier is 1104191147, issued on Mar 8, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 20, 2015.