Angela Gervacio's National Provider Identifier (NPI) Details
Angela Gervacio, LPC
NPI: 1093107385
Enumeration Date: 2015-02-24
Last updated: 2015-02-24
Sole Proprietor: NO
Status: active
Postal Address: 1001 MAPLE AVE, DOWNERS GROVE, IL
Phone: 630-353-0697
Primary Practice Address: 1001 MAPLE AVE, DOWNERS GROVE, IL
Practice's phone: 630-353-0697