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Tayshia Small
Mental Health Counselor in Chicago, Illinois
NPI 1770170250

Tayshia Small is a Mental Health Counselor based in Houston, IL and is specialized in Mental Health. Tayshia Small practices in Chicago, IL. The NPI Number for Tayshia Small is 1770170250 and holds a License No. 178.015725 (Illinois).

The current practice location address for Tayshia Small is 1448 N Milwaukee Ave Ste 201, Chicago, IL and can be reached out via phone at 312-476-9064.

Location: 1448 N Milwaukee Ave Ste 201, Chicago, IL, 77275-2123
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Provider Profile Details
NPI Number
1770170250
Provider Name
Tayshia Small
Credential
Provider Entity Type
Individual
Gender
Female
Address
1448 N Milwaukee Ave Ste 201, Chicago, IL, 77275-2123
Phone Number
312-476-9064
Fax Number
Provider Enumeration Date
12/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1448 N Milwaukee Ave Ste 201
City
State
Zip
60622-9225
Phone Number
312-476-9064
Fax Number
person
Provider Business Mailing Address Details
Address
1448 N Milwaukee Ave Ste 201
City
State
Zip
60622-9225
Phone Number
312-476-9064
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.015725 (Illinois)
Definition
Definition to come...
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