Most Relevant Information
Provider Data
| NPI Number: | 1003420076 |
| Provider Name: | THERESA GILL LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | E.1800746 |
Most Important Dates
| Enumeration Date: | 09/07/2020 |
| Last Updated: | 07/11/2021 |
Provider Practice Location
7232 JUSTIN WAY
MENTOR
OH
440604881
Practice Location Phone/Fax
| Phone: | 4405788200 |
| Fax: |
Provider Mailing Location
7232 JUSTIN WAY
MENTOR
OH
440604881
Provider Mailing Phone/Fax
| Phone: | 4405788200 |
| Fax: |