Individual provider · Type 1 NPI

Phaidra Wills

Professional Counselor · Chicago, IL

NPI number 1861939258 Active

Practice location

3062 E 91st St
Chicago, IL 60617-4401

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180010477 (IL)

Professional Counselor: Definition to come...

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About NPI 1861939258

Phaidra Wills's National Provider Identifier is 1861939258, issued on Jan 24, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 29, 2018.