Mary Theis, MA, CSLG PSY LCPC
NPI #1366808974 in Evanston, Illinois
Provider Information
- NPI Number
- 1366808974
- Entity Type
- Individual
- Name
- Mary Theis, MA, CSLG PSY LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, CSLG PSY LCPC
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Jan 12, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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