Individual
DR. DANA ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
19717 OAKWOOD AVE, LYNWOOD, IL 60411-6333
(773) 988-1145
Mailing address
19717 OAKWOOD AVE, LYNWOOD, IL 60411-6333
(773) 988-1145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22817
IL
101YP2500X
Professional Counselor
Primary
180005781
IL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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