MARIEL GARDINER LCPC
NPI 1366004210
Counselor - Professional in Chicago, IL
Active since July 01, 2019
About Mariel Gardiner Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIEL GARDINER LCPC (NPI 1366004210) is an individual professional provider in Chicago, Illinois, licensed in (180014590) and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1366004210
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARIEL GARDINERCredential: LCPC
Location Address107 W VAN BUREN ST STE 205Chicago, IL 60605-1054
Mailing Address107 W Van Buren St Ste 205Chicago, IL 60605-1054 · (847) 852-0994
Phone(312) 373-0782
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1366004210 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed · 180014590✔ Licensed · 180.014590✔ Licensed in IL · 178014920
107 W VAN BUREN ST STE 205, Chicago, IL 60605
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366004210, enumerated as an "individual" on July 01, 2019.
The provider is located at 107 W VAN BUREN ST STE 205 CHICAGO, IL 60605 and the phone number is (312) 373-0782.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
