Individual
DANIELLE AVALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
1732 ZEPPELIN DR, HANOVER PARK, IL 60133-5930
(912) 704-5063
Mailing address
1732 ZEPPELIN DR, HANOVER PARK, IL 60133-5930
(912) 704-5063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.005775
IL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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