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Kaileen Banaszak Gaumer
Professional Counselor in Dixon, Illinois
NPI 1093402984

Kaileen Banaszak Gaumer is a Professional Counselor based in Sterling, IL and is specialized in Professional. Kaileen Banaszak Gaumer practices in Dixon, IL. The NPI Number for Kaileen Banaszak Gaumer is 1093402984 and holds a License No. 178.005831 (Illinois).

The current practice location address for Kaileen Banaszak Gaumer is 629 N Galena Ave Ste 120, Dixon, IL and can be reached out via phone at 815-288-1235.

Location: 629 N Galena Ave Ste 120, Dixon, IL, 61081-4314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093402984
Provider Name
Kaileen Banaszak Gaumer
Credential
Provider Entity Type
Individual
Gender
Female
Address
629 N Galena Ave Ste 120, Dixon, IL, 61081-4314
Phone Number
815-288-1235
Fax Number
Provider Enumeration Date
04/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
629 N Galena Ave Ste 120
City
Dixon
State
Illinois
Zip
61021-1664
Phone Number
815-288-1235
Fax Number
person
Provider Business Mailing Address Details
Address
629 N Galena Ave Ste 120
City
Dixon
State
Illinois
Zip
61021-1664
Phone Number
815-288-1235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.005831 (Illinois)
Definition
Definition to come...
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