Individual provider · Type 1 NPI

Taniesha Prentice

Mental Health Counselor · Chicago, IL

NPI number 1134979305 Active

Practice location

3701 N Ravenswood Ave Ste 301
Chicago, IL 60613-3878

Call (312) 612-9424 Map

Mailing address

525 S State St Apt 1329
Chicago, IL 60605-1616

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.019301 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1134979305

Taniesha Prentice's National Provider Identifier is 1134979305, issued on Mar 22, 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 22, 2024.