Individual
MS. ALLISON KUPFERBERG SHEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
4411 N RAVENSWOOD AVE STE 200, CHICAGO, IL 60640-5802
(773) 999-9987
(847) 780-3360
Mailing address
4411 N RAVENSWOOD AVE STE 200, CHICAGO, IL 60640-5802
(773) 999-9987
(847) 780-3360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180009684
IL
101YP2500X
Professional Counselor
Primary
180009684
IL
Other
Enumeration date
11/15/2010
Last updated
02/24/2023
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