Individual
DEJA J SURVILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
(313) 312-0066
Mailing address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
(313) 312-0066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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