Geniece Davis
Counselor, Mental Health in Chicago Heights, IL. Individual provider (NPI-1).
NPI number1285045906
StatusActive
Last updated in NPPESMay 15, 2014
Details
- NPI
- 1285045906
- Entity type
- Individual (NPI-1)
- Name
- Geniece Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2014
- Last updated
- May 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
450 W 14th StChicago Heights, IL 60411-2463
Phone 708-503-9670
Mailing address
17746 Oak Park AveTinley Park, IL 60477-3936
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