Individual provider · Type 1 NPI
Gretchen Marie Whittemore, MA, LCPC
Professional Counselor · Peoria, IL
NPI number
1497409726
Active
Practice location
5409 N Knoxville Ave
Peoria, IL 61614-5069
Mailing address
2220 W Overbrook Dr
Peoria, IL 61604-2352
Other practice locations
- 3716 W Brighton Ave, Peoria, IL 61615-2938 · (309) 692-7755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.01477 (IL) |
Professional Counselor: Definition to come...
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About NPI 1497409726
Gretchen Marie Whittemore, MA, LCPC's National Provider Identifier is 1497409726, issued on Feb 6, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Feb 6, 2022.