| Anne Gamache Psychotherapy Llc | |
|
564 W Randolph St Ste 200 Chicago IL 60661-2218 | |
| (847) 461-3168 | |
| Not Available |
| Full Name | Anne Gamache Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 564 W Randolph St Ste 200, Chicago, Illinois |
| Authorized Official Name and Position | Anne Gamache (MANAGING OWNER) |
| Authorized Official Contact | 8474613168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Gamache Psychotherapy Llc 564 W Randolph St Ste 200 Chicago IL 60661-2218 Ph: (847) 461-3168 | Anne Gamache Psychotherapy Llc 564 W Randolph St Ste 200 Chicago IL 60661-2218 Ph: (847) 461-3168 |
| NPI Number | 1487320834 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487320834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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