Individual
MRS. DEVYN LONGSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4736 S SAINT LAWRENCE AVE APT 1S, CHICAGO, IL 60615-5188
(815) 325-0997
Mailing address
2706 W 84TH ST, CHICAGO, IL 60652-3910
(815) 325-0997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180014992
IL
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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