Organization
ALLISON J. LIST, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON J. LIST LCSW (PRESIDENT)
(224) 217-2435
Entity
Organization
Contact information
Practice address
1219 CAROLINE CT, VERNON HILLS, IL 60061-4192
(224) 217-2435
(847) 520-4157
Mailing address
1219 CAROLINE CT, VERNON HILLS, IL 60061-4192
(224) 217-2435
(847) 520-4157
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
060011386
IL
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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