Individual provider · Type 1 NPI

Maxie Lee Knighten

Mental Health Counselor · Chicago, IL

NPI number 1063270627 Active

Practice location

4131 S State St Ste F
Chicago, IL 60609-2942

Call (773) 366-0055 Map

Mailing address

9704 S Lowe Ave
Chicago, IL 60628-1013

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063270627

Maxie Lee Knighten's National Provider Identifier is 1063270627, issued on Mar 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Mar 8, 2024.