Organization
ALPHA COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN KULLMAN MS LCPC (THERAPIST OWNER)
(630) 983-4577
Entity
Organization
Contact information
Practice address
1112 S WASHINGTON ST, SUITE 14, NAPERVILLE, IL 60540-7999
(630) 983-4577
(630) 983-4690
Mailing address
1112 S WASHINGTON ST, SUITE 14, NAPERVILLE, IL 60540-7999
(630) 983-4577
(630) 983-4690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932149
BLUECROSSBLUESHIELD OF IL
IL
Enumeration date
10/17/2006
Last updated
08/22/2020
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