Organization
ALLEN'S FAMILY COUNSELING CENTER, INC.
Active
Other names
Allen's Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ALLEN MS, QMHP, CADC, CODP (CEO)
(312) 912-7008
Entity
Organization
Contact information
Practice address
226 W ONTARIO ST STE 400C, CHICAGO, IL 60654-3619
(312) 912-7008
(312) 533-2842
Mailing address
226 W ONTARIO ST STE 400C, CHICAGO, IL 60654-3619
(312) 912-7008
(312) 533-2842
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7512-0001-A
—
IL
Enumeration date
03/05/2020
Last updated
03/05/2020
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