OTHELLA BANNER, LCPC

LCPC

Counselor

NPI: 1386083665Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

101Y00000X(IL)

Contact & Hours

Address: 641 W 63RD ST, L33
CHICAGO, IL 60621
Phone: (312) 747-7496

Quick Facts

NPI: 1386083665
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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