MS. Gina M Staten Brabham, MA, LCPC
NPI #1225123706 in Western Springs, Illinois
Provider Information
- NPI Number
- 1225123706
- Entity Type
- Individual
- Name
- MS. Gina M Staten Brabham, MA, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LCPC
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1023 BURLINGTON AVE.
- City
- Western Springs
- State
- Illinois
- ZIP Code
- 60558
- Phone
- (708) 354-0826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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