Alisa Courtney Psychotherapy

NPI 1154658730 - Counselor - 101YP2500X

NPI Details
NPI 1154658730
Enumeration Date 11/03/2009
Last Updated 11/03/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ALISA J ALISA
Position PSYCHOTHERAPIST
Phone (847) 624-9712
Fax (847) 748-7478
Practice Location
222 WISCONSIN AVE
SUITE 203B
LAKE FOREST IL, 60045, US
Phone (847) 624-9712
Fax (847) 748-7478
Business Location
222 WISCONSIN AVE
SUITE 203B
LAKE FOREST IL, 60045, US
Phone (847) 624-9712
Fax (847) 748-7478
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180004714
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According to our database, Alisa Courtney Psychotherapy NPI is 1154658730, taxonomy code is 101YP2500X and license number is 180004714, license state is located at Illinois. Alisa Courtney Psychotherapy physically located at 222 Wisconsin Ave, Lake Forest IL, 60045. NPI Number 1033115704 has the healthcare provider type.

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1154658730 NPI number is provided on an as is basis without warranty of any kind. 1154658730 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa Courtney Psychotherapy are for informational purposes only.