Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 178016346 | IL |
N | 225C00000X | Rehabilitation Counselor | 446036 | IL |
NPI | 1073102141 |
---|---|
Provider Name | Beatrice Meda Gaurean |
First Address | Chicago, IL 60625-7421 |
Second Address | Chicago, IL 60625-7421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2021 |
Last Update Date | 13/01/2021 |