Individual
MR. JAVIER STEVEN ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CADC
Contact information
Practice address
3545 LAKE AVE, SUITE 200, WILMETTE, IL 60091-1058
(847) 251-7350
(847) 853-2600
Mailing address
3545 LAKE AVE, SUITE 200, WILMETTE, IL 60091-1058
(847) 251-7350
(847) 853-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24817
IL
101YP2500X
Professional Counselor
178.004157
IL
Other
Enumeration date
08/21/2009
Last updated
08/11/2011
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