Beverly C. Allen, MA, LCPC

Individual provider Active NPI Professional Counselor · Oak Park, IL

NPI 1912045014 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1912045014
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
120 S Marion St
Oak Park, IL 60302-2809
Phone
(708) 383-7500
Fax
(708) 383-7780
NPI assigned
Feb 1, 2007
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-001382ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Yes

Addresses

Primary practice location

120 S Marion St
Oak Park, IL 60302-2809

Mailing address

37W988 Clover Hills CT
Batavia, IL 60510-9410
Phone (630) 761-6616

Other providers in Oak Park, IL

All providers in Oak Park, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.