Revita Dechalus, LPC
Counselor, Professional in Arlington Heights, IL. Individual provider (NPI-1).
NPI number1982146718
StatusActive
Last updated in NPPESNov 10, 2016
Details
- NPI
- 1982146718
- Entity type
- Individual (NPI-1)
- Name
- Revita Dechalus
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2016
- Last updated
- Nov 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178006723 | IL | Yes |
Practice location
3436 N Kennicott AveArlington Heights, IL 60004-7814
Phone 947-952-7460 · Fax 847-222-1754
Mailing address
3436 N Kennicott AveArlington Heights, IL 60004-7814
Phone 947-952-7460 · Fax 847-222-1754
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