Individual
TINA VILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
825 W STATE ST, 103D, GENEVA, IL 60134-2080
(773) 627-1681
Mailing address
825 W STATE ST, 103D, GENEVA, IL 60134-2080
(773) 627-1681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007247
IL
Other
Enumeration date
09/02/2009
Last updated
04/13/2015
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