Individual
DEJANAE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178011689
IL
101YM0800X
Mental Health Counselor
178011689
IL
101YP2500X
Professional Counselor
Primary
178.011689
IL
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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