Individual
MS. VICTORIA LYLES MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC , NCC, IDVCA
Contact information
Practice address
308 N TAYLOR AVE, OAK PARK, IL 60302-2528
(312) 972-1955
Mailing address
308 N TAYLOR AVE, OAK PARK, IL 60302-2528
(312) 972-1955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-003866
IL
251S00000X
Community/Behavioral Health Agency
Primary
6805030174
IL
Other
Enumeration date
09/26/2013
Last updated
11/20/2013
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