Individual
ALICIA KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5434
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008624
IL
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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