Taylor Glen Shigeru Keoki Leisher
Taylor Glen Shigeru Keoki Leisher is a Mental Health Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
30 N Michigan Ave Ste 1609Chicago, IL 60602-3652
Phone: (773) 683-3555
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178015953 (IL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1184267759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2019 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
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