Wellformed AI

NPI 1205616299 · live from the CMS NPI Registry

Dejah Amos, MA

Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1205616299, active.

NPI record

NPI1205616299 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location8 S Michigan Ave Ste 2300, Chicago, IL 60603
Practice phone773-980-9499
Mailing address795 Churchill Dr, New Lenox, IL 60451
EnumeratedOctober 5, 2023
Last updatedOctober 5, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.