person
Tamara Payne-douglas
Mental Health Counselor in Forest Park, Illinois
NPI 1417302746

Tamara Payne-douglas is a Mental Health Counselor based in Forest Park, IL and is specialized in Mental Health. Tamara Payne-douglas practices in Forest Park, IL. The NPI Number for Tamara Payne-douglas is 1417302746 and holds a License No. 178.010793 (Illinois).

The current practice location address for Tamara Payne-douglas is 8311 Roosevelt Rd, Forest Park, IL and can be reached out via phone at 708-771-7000.

Location: 8311 Roosevelt Rd, Forest Park, IL, 60130-2529
person
Provider Profile Details
NPI Number
1417302746
Provider Name
Tamara Payne-douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
8311 Roosevelt Rd, Forest Park, IL, 60130-2529
Phone Number
708-771-7000
Fax Number
Provider Enumeration Date
04/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8311 Roosevelt Rd
City
State
Zip
60130-2529
Phone Number
708-771-7000
Fax Number
person
Provider Business Mailing Address Details
Address
8311 Roosevelt Rd
City
State
Zip
60130-2529
Phone Number
708-771-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.010793 (Illinois)
Definition
Definition to come...
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