Mrs. Othella Banner, LCPC - Chicago, IL

Mrs. Othella Banner, LCPC

Counselor in Chicago, Illinois

NPI 1386083665

Othella Banner is a Counselor based in Chicago, IL. Othella Banner practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Othella Banner is 1386083665 and holds a License No. 101Y00000X (Illinois).

The current practice location address for Othella Banner is 641 W 63Rd St, Chicago, IL and can be reached out via phone at 312-747-7496.

Location: 641 W 63Rd St, Chicago, IL, 60621-2032

NPI Number

1386083665

Provider Name

Othella Banner

Credential

LCPC

Provider Entity Type

Individual

Gender

Female

Address

641 W 63Rd St, Chicago, IL, 60621-2032

Phone Number

312-747-7496

Fax Number

Provider Enumeration Date

06/19/2013

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
180001054	01	IL	LICENSE

Address

641 W 63Rd St

City

Chicago

State

Illinois

Zip

60621-2032

Phone Number

312-747-7496

Fax Number

Address

641 W 63Rd St

City

Chicago

State

Illinois

Zip

60621-2032

Phone Number

312-747-7496

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

101Y00000X (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.

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