Individual provider · Type 1 NPI

Andrew Tait Gordinier

Counselor · Crystal Lake, IL

NPI number 1366014078 Active

Practice location

145 S Virginia St
Crystal Lake, IL 60014-7226

Call (815) 444-9999 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366014078

Andrew Tait Gordinier's National Provider Identifier is 1366014078, issued on Jul 13, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 13, 2021.