Individual provider · Type 1 NPI

Gwendolyn Maxwell, CADC

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1114576113 Active

Practice location

140 N Ashland Ave
Chicago, IL 60607-1802

Call (312) 850-0050 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16255 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114576113

Gwendolyn Maxwell, CADC's National Provider Identifier is 1114576113, issued on Sep 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2019.