Gateway Professional Services, PC

NPI #1467208389 in Peoria, Illinois

Provider Information

NPI Number
1467208389
Entity Type
Organization
Organization Name
Gateway Professional Services, PC
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 30, 2024
Last Updated
Jun 14, 2024

Practice Location

Address
4812 N SHERIDAN RD
City
Peoria
ZIP Code
61614-5969
Phone
(877) 381-6538

Authorized Official

Name
LATINA RUSSELL
Title
CREDENTIALING SPECIALIST
Phone
(312) 663-1130

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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