Individual provider · Type 1 NPI

Deavionne Carpenter

Mental Health Counselor · Merrionette Park, IL

NPI number 1578348355 Active

Practice location

11560 S Kedzie Ave Ste 200
Merrionette Park, IL 60803-4517

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578348355

Deavionne Carpenter's National Provider Identifier is 1578348355, issued on Aug 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merrionette Park, IL. The record was last updated on Aug 29, 2023.