Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAILEEN BANASZAK GAUMER
Active Sole ProprietorProfessional Counselor · DIXON, IL
Registration Details
- NPI Number
- 1093402984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2023 (3.0361001614759 yrs)
- Last Updated
- Apr 20, 2023
- License
-
178.005831 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
629 N GALENA AVE STE 120DIXON, IL, 610211664Browse IL providers · Browse ZIP 61021
- Phone
- 8152881235
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JEAN M CHEEVER | RN | 1053440537 |
| MS. KIMBERLY S DEVOS | LCPC | 1104052265 |
| TINA NICOLE ROCKWELL | — | 1841530987 |
| APRIL R RAMIREZ | MS, LCPC | 1437587441 |
| JAMES HAGLER | — | 1235518580 |
| STACY JO BARBER | L.C.P.C. | 1073963963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.