Individual provider · Type 1 NPI
Deja J. Survillion
Mental Health Counselor · Chicago, IL
NPI number
1164179735
Active
Practice location
17 N Wabash Ave Ste 515
Chicago, IL 60602-4818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1164179735
Deja J. Survillion's National Provider Identifier is 1164179735, issued on Mar 3, 2022. 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 3, 2022.