Individual provider · Type 1 NPI

Te'aira Marilyn Malone

Professional Counselor · Mokena, IL

NPI number 1063756245 Active

Practice location

9435 Bormet Dr, #5
Mokena, IL 60448-8363

Call (708) 995-7226 Map

Fax (708) 995-7227

Mailing address

1720 S Michigan Ave Apt 3017
Chicago, IL 60616-4862

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180008413 (IL)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1063756245

Te'aira Marilyn Malone's National Provider Identifier is 1063756245, issued on Nov 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mokena, IL. The record was last updated on Nov 12, 2012.