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Millicent Mutisya
Counselor in Peoria, Illinois
NPI 1891493797

Millicent Mutisya is a Counselor based in Columbus, IL. Millicent Mutisya practices in Peoria, IL. The NPI Number for Millicent Mutisya is 1891493797 and holds a License No. (Illinois).

The current practice location address for Millicent Mutisya is 1115 N North St Ste C, Peoria, IL and can be reached out via phone at 309-839-8984.

Location: 1115 N North St Ste C, Peoria, IL, 43215-7088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891493797
Provider Name
Millicent Mutisya
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 N North St Ste C, Peoria, IL, 43215-7088
Phone Number
309-839-8984
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 N North St Ste C
City
Peoria
State
Illinois
Zip
61606-1959
Phone Number
309-839-8984
Fax Number
person
Provider Business Mailing Address Details
Address
1115 N North St Ste C
City
Peoria
State
Illinois
Zip
61606-1959
Phone Number
309-839-8984
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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