person
Hazel Mae Gordon
Mental Health Counselor in Libertyville, Illinois
NPI 1003690611

Hazel Mae Gordon is a Mental Health Counselor based in Libertyville, IL and is specialized in Mental Health. Hazel Mae Gordon practices in Libertyville, IL. The NPI Number for Hazel Mae Gordon is 1003690611 and holds a License No. (Illinois).

The current practice location address for Hazel Mae Gordon is 1113 S Milwaukee Ave, Libertyville, IL and can be reached out via phone at 847-748-0341 and via fax at 847-748-0341.

Location: 1113 S Milwaukee Ave, Libertyville, IL, 60048-3758
person
Provider Profile Details
NPI Number
1003690611
Provider Name
Hazel Mae Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1113 S Milwaukee Ave, Libertyville, IL, 60048-3758
Phone Number
847-748-0341
Fax Number
847-748-0341
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1113 S Milwaukee Ave
City
State
Zip
60048-3758
Phone Number
847-748-0341
Fax Number
847-748-0341
person
Provider Business Mailing Address Details
Address
1113 S Milwaukee Ave
City
State
Zip
60048-3758
Phone Number
847-748-0341
Fax Number
847-748-0341
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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