Individual
LAURA JEAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, BC-DMT, GL-CMA
Contact information
Practice address
260 E COLUMBIA AVE, ELMHURST, IL 60126-2441
(773) 802-4313
Mailing address
260 E COLUMBIA AVE, ELMHURST, IL 60126-2441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.008140
IL
225600000X
Dance Therapist
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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