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Organization
M & M COUNSELING
Active
Organization
M & M COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TICHIYA MAXEY LCSW (LICENSED CLINICAL SOCIAL WORKER)
(708) 288-2656
Entity
Organization
Contact information
Practice address
9869 W ROOSEVELT RD, WESTCHESTER, IL 60154-2758
(708) 288-2656
Mailing address
9869 W ROOSEVELT RD, WESTCHESTER, IL 60154-2758
(708) 288-2656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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