Individual
DR. DEVONE VERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6650 S WOOD ST, CHICAGO, IL 60636-3018
(773) 619-2001
Mailing address
6650 S WOOD ST, CHICAGO, IL 60636-3018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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