Estella Allen
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Forreston, IL
NPI 1598062887 · NPPES record last updated Feb 22, 2011
Key facts
- NPI
- 1598062887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 203 N Oak Ave
Forreston, IL 61030-9613 - Phone
- (815) 938-8003
- NPI assigned
- Feb 22, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
203 N Oak Ave
Forreston, IL 61030-9613
Mailing address
203 N Oak Ave
Forreston, IL 61030-9613
Other providers in Forreston, IL
- Jennifer L Anderson
- Paige Marie Chamberlin
- Forreston Dental
- Forreston Fire Protection District
- Forrestville Valley U S D 221
All providers in Forreston, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.