Individual
ALYSE MALMBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1623 N WESTERN AVE, CHICAGO, IL 60647
(773) 524-2685
Mailing address
2155 W BELMONT AVE # 1071, CHICAGO, IL 60618-6471
(773) 524-2685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180010265
IL
Other
Enumeration date
02/14/2017
Last updated
11/11/2025
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