Individual
ALISSA MAZZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LCPC
Contact information
Practice address
1770 WEST BERTEAU AVENUE SUITE 302A, CHICAGO, IL 60613
(847) 567-7888
Mailing address
4610 N CLARK ST # 1160, CHICAGO, IL 60640-4620
(847) 567-7888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60947049
WA
Other
Enumeration date
08/22/2019
Last updated
03/27/2024
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