Individual
MR. NORRIS WENDELL TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
10540 S WESTERN AVE STE 402, CHICAGO, IL 60643-2529
(773) 509-5055
(773) 509-5010
Mailing address
10540 S WESTERN AVE STE 402, CHICAGO, IL 60643-2529
(773) 509-5055
(773) 509-5010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
150.107571
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
150.107571
IL
101YM0800X
Mental Health Counselor
150.107571
IL
104100000X
Social Worker
Primary
150.107571
IL
Other
Enumeration date
11/15/2013
Last updated
09/27/2022
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