Allena Maria Barbato, AMFT

Individual provider Active NPI Marriage & Family Therapist · Grayslake, IL

NPI 1891031241 · NPPES record last updated Dec 12, 2012

Key facts

NPI
1891031241
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
208.000297 (IL)
Practice address
11 S Lake St
Grayslake, IL 60030-1511
Phone
(847) 986-9314
NPI assigned
Dec 12, 2012
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
208.000297ILMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 208.000297 IL Yes

Addresses

Primary practice location

11 S Lake St
Grayslake, IL 60030-1511

Mailing address

11 S Lake St
Grayslake, IL 60030-1511
Phone (847) 986-9314

Other providers in Grayslake, IL

All providers in Grayslake, IL · Marriage & Family Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.