Ian Broderick Gough, MS, LPC - Chicago, IL

Ian Broderick Gough, MS,LPC

Professional Counselor in Chicago, Illinois

NPI 1568134625

Ian Broderick Gough is a Professional Counselor based in Chicago, IL and is specialized in Professional. Ian Broderick Gough practices in Chicago, IL and has the professional credentials of MS,LPC. The NPI Number for Ian Broderick Gough is 1568134625 and holds a License No. (Illinois).

The current practice location address for Ian Broderick Gough is 1616 N Damen Ave Unit 301, Chicago, IL and can be reached out via phone at 888-303-2844.

Location: 1616 N Damen Ave Unit 301, Chicago, IL, 60647-5536

NPI Number

1568134625

Provider Name

Ian Broderick Gough

Credential

MS,LPC

Provider Entity Type

Individual

Gender

Male

Address

1616 N Damen Ave Unit 301, Chicago, IL, 60647-5536

Phone Number

888-303-2844

Fax Number

Provider Enumeration Date

09/28/2021

Last Update Date

03/10/2024

Address

1616 N Damen Ave Unit 301

City

Chicago

State

Illinois

Zip

60647-5536

Phone Number

888-303-2844

Fax Number

Address

1616 N Damen Ave Unit 301

City

Chicago

State

Illinois

Zip

60647-5536

Phone Number

888-303-2844

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

178018226 (Illinois)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Professional

Taxonomy

101YP2500X

License No.

()

Definition

Definition to come...

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