IAN BRODERICK GOUGH

CHICAGO, IL
NPI1568134625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178018226)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-09-28
Last Update Date2023-04-24
Business Address
IAN BRODERICK GOUGH MS, LPC
1616 N DAMEN AVE UNIT 301
CHICAGO, IL 60647-5536
Phone number: 888-303-2844
Mailing Address
IAN BRODERICK GOUGH MS, LPC
1616 N DAMEN AVE UNIT 301
CHICAGO, IL 60647-5536
Phone number: 888-303-2844
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