Individual
COREY LARISCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ILLINOIS BLVD STE 107, HOFFMAN ESTATES, IL 60169-3314
(847) 844-6212
Mailing address
1 ILLINOIS BLVD STE 107, HOFFMAN ESTATES, IL 60169-3314
(847) 844-6212
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
178.014320
IL
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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