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Corliss Ivy, LCPC
Professional Counselor in Zion, Illinois
NPI 1811584261

Corliss Ivy is a Professional Counselor based in Lake Villa, IL and is specialized in Professional. Corliss Ivy practices in Zion, IL and has the professional credentials of LCPC. The NPI Number for Corliss Ivy is 1811584261 and holds a License No. 180.009200 (Illinois).

The current practice location address for Corliss Ivy is 2520 Elisha Ave, Zion, IL and can be reached out via phone at 224-707-0146. You can also correspond with Corliss Ivy through the mailing address at 206 CEDAR AVE UNIT 664, LAKE VILLA, IL - 60046-4629 (mailing address contact number: 847-912-4991).

Location: 2520 Elisha Ave, Zion, IL, 60046-4629
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Provider Profile Details
NPI Number
1811584261
Provider Name
Corliss Ivy
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2520 Elisha Ave, Zion, IL, 60046-4629
Phone Number
224-707-0146
Fax Number
Provider Enumeration Date
12/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2520 Elisha Ave
City
State
Zip
60099
Phone Number
224-707-0146
Fax Number
person
Provider Business Mailing Address Details
Address
2520 Elisha Ave
City
State
Zip
60099
Phone Number
224-707-0146
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.009200 (Illinois)
Definition
Definition to come...
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