Individual provider · Type 1 NPI

Desonta Tillman

Mental Health Counselor · Chicago, IL

NPI number 1477018018 Active

Practice location

2930 S Michigan Ave Ste 100
Chicago, IL 60616-3484

Mailing address

1233 E 70th St
Chicago, IL 60637-4708

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477018018

Desonta Tillman's National Provider Identifier is 1477018018, issued on Feb 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Feb 7, 2019.