Individual provider · Type 1 NPI
Mistura Abidemi Olawore
Counselor · Chicago, IL
NPI number
1659941243
Active
Practice location
655 W Irving Park Rd
Chicago, IL 60613-3123
Mailing address
5820 N Kenmore Ave Apt 106
Chicago, IL 60660-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor | 101YP2500X | 178017396 (IL) |
| Counselor Primary | 101Y00000X | 178017396 (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 1659941243
Mistura Abidemi Olawore's National Provider Identifier is 1659941243, issued on Jun 28, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 30, 2024.