Individual provider · Type 1 NPI

Othella Banner, LCPC

Counselor · Chicago, IL

NPI number 1386083665 Active

Practice location

641 W 63rd St
Chicago, IL 60621-2032

Call (312) 747-7496 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X101Y00000X (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1386083665

Othella Banner, LCPC's National Provider Identifier is 1386083665, issued on Jun 19, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 19, 2013.