Organization Name: | CAROL A. GILBERT AND ASSOCIATES, LLC |
NPI Number: | 1073722302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL ANN GILBERT (LICENSED MENTAL HEALTH COUNSELOR) |
Mailing Address: | 241 Golf Mill Ctr Suite 328 Niles |
State: | IL US |
Postal Code: | 607141224 |
Phone Number: | 8472128305 |
Fax Number: | 8476355621 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |