MEDICARE: MS. SHEILA FRAN WASHINGTON BA, MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285824730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA FRAN WASHINGTON BA, MA, LPC

Provider Business Mailing Address
First Line	:	7715 S PHILLIPS AVE
Second Line	:	2ND FL
City	:	CHICAGO
State	:	IL
Zip	:	60649-4705
Country	:	US
Telephone Number	:	773-221-6798
Fax Number	:	773-221-0820

Provider Business Practice Location Address
First Line	:	7715 S PHILLIPS AVE
Second Line	:	2ND FL
City	:	CHICAGO
State	:	IL
Zip	:	60649-4705
Country	:	US
Telephone Number	:	773-221-6798
Fax Number	:	773-221-0820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	07/31/2007

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