Maria Teresa Gonzalez, PRE-LPC

Individual provider Active NPI Mental Health Counselor · Riverwoods, IL

NPI 1558089938 · NPPES record last updated Aug 22, 2022

Key facts

NPI
1558089938
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2640 Deerfield Rd
Riverwoods, IL 60015-3808
Phone
(847) 813-9079
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2640 Deerfield Rd
Riverwoods, IL 60015-3808

Mailing address

3658 S Wentworth Ave
Chicago, IL 60609-1836

Other providers in Riverwoods, IL

All providers in Riverwoods, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.