Search › Illinois › 101YP2500X
Mary Theis, MA, CSLG PSY LCPC
NPI 1366808974 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9343 Drake Ave
Evanston, IL 60203 - Phone
- (847) 677-7022
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois