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Tyhilya Kunisha Mccullum-johnson, LCPC
Professional Counselor in Highland, Indiana
NPI 1164735346

Tyhilya Kunisha Mccullum-johnson is a Professional Counselor based in Orland Park, IN and is specialized in Professional. Tyhilya Kunisha Mccullum-johnson practices in Highland, IN and has the professional credentials of LCPC. The NPI Number for Tyhilya Kunisha Mccullum-johnson is 1164735346 and holds a License No. 178006611 (Indiana).

The current practice location address for Tyhilya Kunisha Mccullum-johnson is 2844 Grand Blvd, Highland, IN and can be reached out via phone at 309-634-6118. You can also correspond with Tyhilya Kunisha Mccullum-johnson through the mailing address at 9721 165TH ST STE 21, ORLAND PARK, IL - 60467-4511 (mailing address contact number: 708-671-8946).

Location: 2844 Grand Blvd, Highland, IN, 60467-4511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164735346
Provider Name
Tyhilya Kunisha Mccullum-johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2844 Grand Blvd, Highland, IN, 60467-4511
Phone Number
309-634-6118
Fax Number
Provider Enumeration Date
07/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37-0934175 01 IL BRIDGEWAY FEIN
institution
Provider Business Practice Location Address Details
Address
2844 Grand Blvd
City
Highland
State
Indiana
Zip
46322-1238
Phone Number
309-634-6118
Fax Number
person
Provider Business Mailing Address Details
Address
9721 165Th St Ste 21
City
Orland Park
State
Illinois
Zip
60467-4511
Phone Number
708-671-8946
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180-007578 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178006611 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178006611 (Illinois)
Definition
Definition to come...
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