Individual
MRS. DAYNA REIKO PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LCPC
Contact information
Practice address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(872) 235-0470
Mailing address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(872) 235-0470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009803
IL
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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