| Alisa Courtney Psychotherapy | |
|
222 Wisconsin Ave Suite 203b Lake Forest IL 60045 | |
| (847) 624-9712 | |
| (847) 748-7478 |
| Full Name | Alisa Courtney Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 222 Wisconsin Ave, Lake Forest, Illinois |
| Authorized Official Name and Position | Alisa J Courtney (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8476249712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Courtney Psychotherapy 222 Wisconsin Ave Suite 203b Lake Forest IL 60045 Ph: (847) 624-9712 | Alisa Courtney Psychotherapy 222 Wisconsin Ave Suite 203b Lake Forest IL 60045 Ph: (847) 624-9712 |
| NPI Number | 1154658730 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154658730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004714 (Illinois) | Primary |
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