| Doctor Name: | BRIAN GARIBALDI |
| NPI Number: | 1023270303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LCPC |
| License Number: | |
| Business Practice Address: | 110 S Hager Ave Barrington, IL - 600104168 |
| Business Phone Number: | 8473810345 |
| Business Fax Number: | |
| Mailing Address: | 643 Garfield St Apt 3, OAK PARK |
| State: | IL |
| Postal Code: | 603042058 |
| Phone Number: | 7083518519 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 01/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |