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Payton Willis
Professional Counselor in Chicago, Illinois
NPI 1598364788

Payton Willis is a Professional Counselor based in Chicago, IL and is specialized in Professional. Payton Willis practices in Chicago, IL. The NPI Number for Payton Willis is 1598364788 and holds a License No. 178.017150 (Illinois).

The current practice location address for Payton Willis is 2755 N Pine Grove Ave, Chicago, IL and can be reached out via phone at 872-212-3241.

Location: 2755 N Pine Grove Ave, Chicago, IL, 60610
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Provider Profile Details
NPI Number
1598364788
Provider Name
Payton Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2755 N Pine Grove Ave, Chicago, IL, 60610
Phone Number
872-212-3241
Fax Number
Provider Enumeration Date
10/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2755 N Pine Grove Ave
City
State
Zip
60614-6109
Phone Number
872-212-3241
Fax Number
person
Provider Business Mailing Address Details
Address
2755 N Pine Grove Ave
City
State
Zip
60614-6109
Phone Number
872-212-3241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.017150 (Illinois)
Definition
Definition to come...
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