Doctor Name: | MICHAEL NICHOLAS GUGLIELMO |
NPI Number: | 1013048230 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NCC LCPC PSYD |
License Number: | 42850 |
Business Practice Address: | 45100 Route 59 Unit 67 Naperville, IL - 60563 |
Business Phone Number: | 6304168289 |
Business Fax Number: | 6304168306 |
Mailing Address: | 45100 Route 59, Unit 67 NAPERVILLE |
State: | IL |
Postal Code: | 60563 |
Phone Number: | 6304168289 |
Fax Number: | 6304168306 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 42850 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |