Individual
MRS. ALANNA JOSEPHINE CIESLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
215 S GRAND AVE W, SPRINGFIELD, IL 62704-3885
(217) 744-3525
(217) 744-3535
Mailing address
72 KIRKLEY LN, SPRINGFIELD, IL 62704-5349
(847) 909-7550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012433
IL
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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