| Golden Gate Counseling, Pllc | |
|
140 S Greenwood Ave Park Ridge IL 60068-3918 | |
| (415) 410-7587 | |
| Not Available |
| Full Name | Golden Gate Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 140 S Greenwood Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Lorie Enlow (THERAPIST) |
| Authorized Official Contact | 3128849597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Gate Counseling, Pllc 140 S Greenwood Ave Park Ridge IL 60068-3918 Ph: (415) 410-7587 | Golden Gate Counseling, Pllc 140 S Greenwood Ave Park Ridge IL 60068-3918 Ph: (415) 410-7587 |
| NPI Number | 1538737648 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538737648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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