Individual provider · Type 1 NPI
Tataneshia Middleton
Professional Counselor · Matteson, IL
NPI number
1194609974
Active
Practice location
5353 Drake Ln
Matteson, IL 60443-1613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.021883 (IL) |
Professional Counselor: Definition to come...
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About NPI 1194609974
Tataneshia Middleton's National Provider Identifier is 1194609974, issued on Aug 4, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Matteson, IL. The record was last updated on Aug 4, 2025.