Individual provider · Type 1 NPI
Gina M. Staten Brabham, MA, LCPC
Professional Counselor · Western Springs, IL
NPI number
1225123706
Active
Practice location
1023 Burlington Ave.
Western Springs, IL 60558
Fax (708) 354-0867
Mailing address
7003 Sierra Ct.
Darien, IL 60561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1225123706
Gina M. Staten Brabham, MA, LCPC's National Provider Identifier is 1225123706, issued on Oct 3, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Western Springs, IL. The record was last updated on Jul 8, 2007.