Individual provider · Type 1 NPI

Kenya Gavin

Mental Health Counselor · South Holland, IL

NPI number 1144702192 Active

Practice location

16278 Prince Dr
South Holland, IL 60473-3233

Call (708) 754-8815 Map

Fax (708) 798-1315

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

17 other providers at this address

Other mental health counselor providers in South Holland

See all in South Holland →

About NPI 1144702192

Kenya Gavin's National Provider Identifier is 1144702192, issued on Sep 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Holland, IL. The record was last updated on Sep 5, 2018.