Individual
MRS. NAYESHA ADIA PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2659 W DIVISION ST, CHICAGO, IL 60622-2851
(312) 859-3675
Mailing address
6224 S DORCHESTER AVE APT 1, CHICAGO, IL 60637-5184
(312) 859-3675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.016203
IL
101YS0200X
School Counselor
Primary
2355616
IL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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