Tolaya Geredine, LCPC
Counselor, Professional in Flossmoor, IL. Individual provider (NPI-1).
NPI number1982156550
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1982156550
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tolaya Geredine
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2016
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180012190 | IL | Yes |
Practice location
19710 Governors Hwy Ste 5Flossmoor, IL 60422-2081
Phone 312-898-5007
Mailing address
19710 Governors Hwy Ste 5Flossmoor, IL 60422-2081
Phone 312-898-5007
Other practice locations
19710 Governors Hwy Ste 5
Flossmoor, IL 60422-2081
Flossmoor, IL 60422-2081
Phone 312-898-5007
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