Individual provider · Type 1 NPI
Tamara Rachelle Gilmore
Mental Health Counselor · Decatur, IL
NPI number
1730746256
Active
Practice location
861 W William St
Decatur, IL 62522-2351
Mailing address
18430 Kedzie Ave Apt 2A
Homewood, IL 60430-2794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1730746256
Tamara Rachelle Gilmore's National Provider Identifier is 1730746256, issued on May 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, IL. The record was last updated on Oct 14, 2024.