Individual
ESTELLA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N OAK AVE, FORRESTON, IL 61030-9613
(815) 938-8003
Mailing address
203 N OAK AVE, FORRESTON, IL 61030-9613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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