Individual provider · Type 1 NPI

Tanya Lenore Bennett

Professional Counselor · Chicago, IL

NPI number 1295449833 Active

Practice location

1507 W Lawrence Ave
Chicago, IL 60640-4702

Call (773) 569-1468 Map

Mailing address

1540 W Highland Ave
Chicago, IL 60660-1310

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.018505 (IL)

Professional Counselor: Definition to come...

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About NPI 1295449833

Tanya Lenore Bennett's National Provider Identifier is 1295449833, issued on Jan 9, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 9, 2023.