person
Lanay Deniece Walls, LSW
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1710753835

Lanay Deniece Walls is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Lanay Deniece Walls practices in Chicago, IL and has the professional credentials of LSW. The NPI Number for Lanay Deniece Walls is 1710753835 and holds a License No. 1325874753 (Illinois).

The current practice location address for Lanay Deniece Walls is 1200 E 78Th St Apt 205, Chicago, IL and can be reached out via phone at 773-485-9597 and via fax at 773-359-4521.

Location: 1200 E 78Th St Apt 205, Chicago, IL, 60619-3372
person
Provider Profile Details
NPI Number
1710753835
Provider Name
Lanay Deniece Walls
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
1200 E 78Th St Apt 205, Chicago, IL, 60619-3372
Phone Number
773-485-9597
Fax Number
773-359-4521
Provider Enumeration Date
11/29/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1200 E 78Th St Apt 205
City
State
Zip
60619-3372
Phone Number
773-485-9597
Fax Number
773-359-4521
person
Provider Business Mailing Address Details
Address
1200 E 78Th St Apt 205
City
State
Zip
60619-3372
Phone Number
773-485-9597
Fax Number
773-359-4521
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21114 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1325874753 (Illinois)
Definition
Definition to come...
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