Susan Allison, LCPC

Individual provider Active NPI Professional Counselor · Palatine, IL

NPI 1013554872 · NPPES record last updated Nov 28, 2019

Key facts

NPI
1013554872
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180012586 (IL)
Practice address
440 W Kerry CT
Palatine, IL 60067-7172
Phone
(847) 508-7809
NPI assigned
Nov 28, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180012586ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180012586 IL Yes

Addresses

Primary practice location

440 W Kerry CT
Palatine, IL 60067-7172

Mailing address

440 W Kerry CT
Palatine, IL 60067-7172
Phone (847) 508-7809

Other providers in Palatine, IL

All providers in Palatine, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.