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Ms. Tanya Lenore Bennett
Professional Counselor in Chicago, Illinois
NPI 1295449833

Tanya Lenore Bennett is a Professional Counselor based in Chicago, IL and is specialized in Professional. Tanya Lenore Bennett practices in Chicago, IL. The NPI Number for Tanya Lenore Bennett is 1295449833 and holds a License No. 178.018505 (Illinois).

The current practice location address for Tanya Lenore Bennett is 1507 W Lawrence Ave, Chicago, IL and can be reached out via phone at 773-569-1468.

Location: 1507 W Lawrence Ave, Chicago, IL, 60660-1310
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Provider Profile Details
NPI Number
1295449833
Provider Name
Tanya Lenore Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
1507 W Lawrence Ave, Chicago, IL, 60660-1310
Phone Number
773-569-1468
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1507 W Lawrence Ave
City
State
Zip
60640-4702
Phone Number
773-569-1468
Fax Number
person
Provider Business Mailing Address Details
Address
1507 W Lawrence Ave
City
State
Zip
60640-4702
Phone Number
773-569-1468
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.018505 (Illinois)
Definition
Definition to come...
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