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NPI Code Detail

MEDICARE: SIERRA A. GABRYS LCPC

MEDICARE: SIERRA A. GABRYS LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor180.007009IL

General Provider Information

NPI Number : 1619559036
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA A. GABRYS LCPC
Provider Business Mailing Address
First Line : 25W. 576 JEROME AVE.
Second Line :
City : WHEATON
State : IL
Zip : 60187
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 411 W RIVER RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-1570
Country : US
Telephone Number : 224-347-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ SIERRA A. GABRYS LCPC” Practice Location

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