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Individual

ALISA CATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
808 S MAIN ST STE C, COLUMBIA, IL 62236-2499
(618) 340-1721
Mailing address
108 HAWTHORNE PL APT 2, COLUMBIA, IL 62236-1029
(618) 340-1721

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178009056
IL
101YP2500X
Professional Counselor
180.012524
IL

Other

Enumeration date
07/25/2013
Last updated
04/07/2020
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