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Organization
ALPHA COUNSELING CENTER INC
Active
Organization
ALPHA COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN KULLMAN MS LCPC (THERAPIST OWNER)
(630) 983-4577
Entity
Organization
Contact information
Practice address
1112 S WASHINGTON ST, SUITE 14, NAPERVILLE, IL 60540-7999
(630) 983-4577
(630) 983-4690
Mailing address
1112 S WASHINGTON ST, SUITE 14, NAPERVILLE, IL 60540-7999
(630) 983-4577
(630) 983-4690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932149
BLUECROSSBLUESHIELD OF IL
IL
Enumeration date
10/17/2006
Last updated
08/22/2020
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