Individual provider · Type 1 NPI
Theresa Latisha Waters
Mental Health Counselor · Chicago, IL
NPI number
1851074108
Active
Practice location
25 N Parkside Ave
Chicago, IL 60644-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 150.112384 (IL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1851074108
Theresa Latisha Waters's National Provider Identifier is 1851074108, issued on Aug 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 10, 2025.