Individual
MS. MAIA MARIE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
105 N OAK PARK AVE # 2, OAK PARK, IL 60301-1364
(773) 423-8447
Mailing address
61 W 15TH ST APT 602, CHICAGO, IL 60605-3607
(414) 403-3950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001499
IL
Other
Enumeration date
01/25/2019
Last updated
11/20/2023
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