Most Relevant Information
Provider Data
NPI Number: | 1003633678 |
Provider Name: | GABRIELLE CLOW LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 178.017113 |
Most Important Dates
Enumeration Date: | 09/24/2024 |
Last Updated: | 09/24/2024 |
Provider Practice Location
604 ACADEMY DR
NORTHBROOK
IL
600622421
Practice Location Phone/Fax
Phone: | 8475491189 |
Fax: |
Provider Mailing Location
2045 GREENWOOD AVE
WILMETTE
IL
600911439
Provider Mailing Phone/Fax
Phone: | 4064226807 |
Fax: |