Individual
MRS. IEISHA JUANITA NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1824 W 107TH PL, CHICAGO, IL 60643-3326
(773) 574-4636
Mailing address
1824 W 107TH PL, CHICAGO, IL 60643-3326
(773) 574-4636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012385
IL
Other
Enumeration date
11/03/2010
Last updated
02/25/2021
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