Individual provider · Type 1 NPI

Millicent Mutisya

Counselor · Peoria, IL

NPI number 1891493797 Active

Practice location

1115 N North St Ste C
Peoria, IL 61606-1959

Call (309) 839-8984 Map

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1891493797

Millicent Mutisya's National Provider Identifier is 1891493797, issued on Feb 20, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 20, 2023.