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NPI Code Detail

MEDICARE: GABRIELLA CHAVARIN LPC

MEDICARE: GABRIELLA CHAVARIN LPC
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
1101Y00000XCounselor178020555IL

General Provider Information

NPI Number : 1619811320
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA CHAVARIN LPC
Provider Business Mailing Address
First Line : 1553 PORTSMOUTH AVE
Second Line :
City : WESTCHESTER
State : IL
Zip : 60154-3622
Country : US
Telephone Number : 708-369-2918
Fax Number :
Provider Business Practice Location Address
First Line : 64 MAIN ST
Second Line :
City : OSWEGO
State : IL
Zip : 60543-9893
Country : US
Telephone Number : 630-519-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ GABRIELLA CHAVARIN LPC” Practice Location

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