Individual
ANITA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22431 TYLER DR, RICHTON PARK, IL 60471-1846
(708) 374-3264
Mailing address
22431 TYLER DR, RICHTON PARK, IL 60471-1846
(708) 374-3264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180013623
IL
Other
Enumeration date
01/14/2019
Last updated
05/02/2025
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