Individual
MS. ALISON RACHEL TOBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
708 CHURCH ST, SUITE #206, EVANSTON, IL 60201-3875
(773) 209-2440
Mailing address
1700 WASHINGTON ST, EVANSTON, IL 60202-1632
(773) 209-2440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009808
IL
101YP2500X
Professional Counselor
Primary
180.010369
IL
Other
Enumeration date
09/03/2015
Last updated
07/05/2016
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