Individual
ADISSON AMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1111 N WELLS ST, CHICAGO, IL 60610-7635
(773) 572-9578
Mailing address
2851 N RACINE AVE, CHICAGO, IL 60657-4230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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