Search › Illinois › 101YP2500X
Gina Staten Brabham, MA, LCPC
NPI 1225123706 · on the registry since 2006
Practice
- Address
- 1023 Burlington Ave.
Western Springs, IL 60558 - Phone
- (708) 354-0826
- Fax
- (708) 354-0867
- Clinicians at this address
- 104
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois