Individual provider · Type 1 NPI

Emily Park Gilliam, LPC, CRADC, CODP II

Mental Health Counselor · Landrum, SC

NPI number 1104373992 Active

Practice location

950 Laurelwood Way
Landrum, SC 29356-8757

Other practice locations

  • 36 Main St, Park Ridge, IL 60068-4059 · (773) 936-5666

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X178012431 (IL)
Mental Health Counselor Primary 101YM0800X7180 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1104373992

Emily Park Gilliam, LPC, CRADC, CODP II's National Provider Identifier is 1104373992, issued on Sep 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Landrum, SC. The record was last updated on Jun 30, 2021.