person
Mary Theis, MA,CSLGPSYLCPC
Professional Counselor in Evanston, Illinois
NPI 1366808974

Mary Theis is a Professional Counselor based in Evanston, IL and is specialized in Professional. Mary Theis practices in Evanston, IL and has the professional credentials of MA,CSLGPSYLCPC. The NPI Number for Mary Theis is 1366808974 and holds a License No. 180.004853 (Illinois).

The current practice location address for Mary Theis is 9343 Drake Ave, Evanston, IL and can be reached out via phone at 847-677-7022.

Location: 9343 Drake Ave, Evanston, IL, 60203-1406
person
Provider Profile Details
NPI Number
1366808974
Provider Name
Mary Theis
Credential
MA,CSLGPSYLCPC
Provider Entity Type
Individual
Gender
Female
Address
9343 Drake Ave, Evanston, IL, 60203-1406
Phone Number
847-677-7022
Fax Number
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9343 Drake Ave
City
State
Zip
60203-1406
Phone Number
847-677-7022
Fax Number
person
Provider Business Mailing Address Details
Address
9343 Drake Ave
City
State
Zip
60203-1406
Phone Number
847-677-7022
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.004853 (Illinois)
Definition
Definition to come...
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