Ian Broderick Gough, MS, LPC
Ian Broderick Gough, MS, LPC is a Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1616 N Damen Ave Unit 301Chicago, IL 60647-5536
Phone: (888) 303-2844
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178018226 (IL) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1568134625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LPC |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | April 24, 2023 |
| Certification date | April 24, 2023 |
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