Individual
MRS. ALLENA MARIA BARBATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
11 S LAKE ST, GRAYSLAKE, IL 60030-1511
(847) 986-9314
Mailing address
11 S LAKE ST, GRAYSLAKE, IL 60030-1511
(847) 986-9314
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000297
IL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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