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NPI Code Detail

MEDICARE: TAMIKA MANSON LCPC

MEDICARE: TAMIKA MANSON LCPC
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
1101YP2500XProfessional Counselor178003298IL
2101YP2500XProfessional Counselor180016342IL

General Provider Information

NPI Number : 1932763018
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMIKA MANSON LCPC
Provider Business Mailing Address
First Line : 111 W JACKSON BLVD STE 1700
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3597
Country : US
Telephone Number : 708-358-6888
Fax Number :
Provider Business Practice Location Address
First Line : 111 W JACKSON BLVD STE 1700
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3597
Country : US
Telephone Number : 708-358-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2019
Last Update Date : 05/10/2026

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Directions to “ TAMIKA MANSON LCPC” Practice Location

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