Individual
ALIX KAVRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7310 N ALPINE RD, LOVES PARK, IL 61111-3902
(779) 210-4987
Mailing address
7310 N ALPINE RD, LOVES PARK, IL 61111-3902
(779) 210-4987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180010697
IL
101Y00000X
Counselor
7165-125
WI
101Y00000X
Counselor
—
—
Other
Enumeration date
09/25/2013
Last updated
08/18/2024
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