Individual provider · Type 1 NPI

Susan Diane Gibbons, MA COUNSELING INTERN

Mental Health Counselor · Wheaton, IL

NPI number 1114689205 Active

Practice location

1616 E Roosevelt Rd Ste 8
Wheaton, IL 60187-6850

Call (630) 588-1201 Map

Mailing address

339 Ridge Rd
Barrington, IL 60010-2331

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114689205

Susan Diane Gibbons, MA COUNSELING INTERN's National Provider Identifier is 1114689205, issued on Oct 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheaton, IL. The record was last updated on Oct 6, 2021.