Olesea Gore, LPC Valid NPI
Individual provider · Mental Health Counselor · Crystal Lake, IL
- NPI
- 1518765585
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 178.021360 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-03-05
- Last updated
- 2025-07-14
Practice location
44 N Virginia St Ste 3b
Crystal Lake, IL 60014-4154
(815) 363-0864