Hazel Mae Gordon
Hazel Mae Gordon is a Mental Health Counselor in Libertyville, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1113 S Milwaukee AveLibertyville, IL 60048-3758
Phone: (847) 748-0341
Fax: (847) 748-0341
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1003690611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 23, 2023 |
| Last updated in NPPES | August 23, 2023 |
| Certification date | August 23, 2023 |
| Mailing address | 1113 S Milwaukee Ave, Libertyville, IL 60048-3758 |
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