Tayshia Small
Tayshia Small is a Mental Health Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
1448 N Milwaukee Ave Ste 201Chicago, IL 60622-9225
Phone: (312) 476-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178.015725 (IL) |
|---|
Record details
| NPI number | 1770170250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2020 |
| Last updated in NPPES | December 30, 2020 |
| Certification date | December 30, 2020 |
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