Individual provider · Type 1 NPI

Kelly C. Gandy

Mental Health Counselor · Chicago, IL

NPI number 1669062907 Active

Practice location

2930 S Michigan Ave Ste 100
Chicago, IL 60616-3484

Mailing address

7338 S Jeffery Blvd Apt 3E
Chicago, IL 60649-3189

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669062907

Kelly C. Gandy's National Provider Identifier is 1669062907, issued on Jan 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jan 20, 2021.