Organization
ALLIANCE COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA VANNUCCI PHD (LICENSED CLINICAL PSYCHOLOGIST)
(773) 412-0872
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 1212, CHICAGO, IL 60602-3731
(773) 412-0872
Mailing address
30 N MICHIGAN AVE STE 1212, CHICAGO, IL 60602-3731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006033
IL
103TC0700X
Clinical Psychologist
071006395
IL
1041C0700X
Clinical Social Worker
149011430
IL
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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