Individual provider · Type 1 NPI

Marilee Cervantes-Bautista, MA, LPC

Professional Counselor · Chicago, IL

NPI number 1376114223 Active

Practice location

2269 N Kedzie Blvd Apt 1
Chicago, IL 60647-2591

Call (312) 819-7381 Map

Fax (312) 428-3093

Mailing address

5212 S Tripp Ave Apt 1
Chicago, IL 60632-4269

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178.016813 (IL)
Professional Counselor Primary 101YP2500X178016813

Professional Counselor: Definition to come...

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About NPI 1376114223

Marilee Cervantes-Bautista, MA, LPC's National Provider Identifier is 1376114223, issued on Jul 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 1, 2021.