TAYSHIA SMALL

CHICAGO, IL
NPI1770170250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.015725)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
TAYSHIA SMALL
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622-9225
Phone number: 312-476-9064
Mailing Address
TAYSHIA SMALL
PO BOX 752123
HOUSTON, TX 77275-2123
Phone number: 312-476-9064