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Organization

ASHLEY ALLIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY ALLIS LCPC (THERAPIST)
(262) 215-6506
Entity
Organization

Contact information

Practice address
708 CHURCH ST, SUITE 221, EVANSTON, IL 60201-3875
(262) 215-6506
Mailing address
708 CHURCH ST, SUITE 221, EVANSTON, IL 60201-3875
(262) 215-6506

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009592
IL

Other

Enumeration date
12/22/2015
Last updated
11/30/2016
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