NPI 1063756245

Te'Aira Marilyn Malone

Practitioner Professional Counselor Mokena, IL

Practice location

Address: 9435 Bormet Dr #5, Mokena, IL 60448-8363
Phone: (708) 995-7226
Fax: (708) 995-7227
Mailing address: 1720 S Michigan Ave APT 3017, Chicago, IL 60616-4862

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180008413 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1063756245
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2012
Record last updated: 12 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.