Organization · Type 2 NPI

Constance A Fullilove PHD Ltd

Mental Health Counselor · Chicago, IL

NPI number 1932022134 Active

Practice location

4742 S Ellis Ave Apt 1
Chicago, IL 60615-1821

Call (312) 560-1808 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1932022134

Constance A Fullilove PHD Ltd's National Provider Identifier is 1932022134, issued on Aug 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 24, 2026.