Individual
DEJANAE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3605 W FILLMORE ST, CHICAGO, IL 60624-4310
(773) 588-0180
Mailing address
3816 N CENTRAL AVE APT 1, CHICAGO, IL 60634-2718
(773) 729-7061
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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