Individual
ANTIONETTE N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1 E ERIE ST STE 525-4596, CHICAGO, IL 60611-2740
(312) 869-4569
Mailing address
1 E ERIE ST STE 525-4596, CHICAGO, IL 60611-2740
(312) 869-4569
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011843
IL
Other
Enumeration date
03/06/2019
Last updated
07/14/2022
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