person
Alyssa L Park, LCPC
Professional Counselor in Springfield, Illinois
NPI 1891039541

Alyssa L Park is a Professional Counselor based in Springfield, IL and is specialized in Professional. Alyssa L Park practices in Springfield, IL and has the professional credentials of LCPC. The NPI Number for Alyssa L Park is 1891039541 and holds a License No. 180008205 (Illinois).

The current practice location address for Alyssa L Park is 5220 S 6Th Street Rd, Springfield, IL and can be reached out via phone at 217-757-7700 and via fax at 217-757-7799.

Location: 5220 S 6Th Street Rd, Springfield, IL, 62702-6324
person
Provider Profile Details
NPI Number
1891039541
Provider Name
Alyssa L Park
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
5220 S 6Th Street Rd, Springfield, IL, 62702-6324
Phone Number
217-757-7700
Fax Number
217-757-7799
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5220 S 6Th Street Rd
City
State
Zip
62703-5735
Phone Number
217-757-7700
Fax Number
217-757-7799
person
Provider Business Mailing Address Details
Address
5220 S 6Th Street Rd
City
State
Zip
62703-5735
Phone Number
217-757-7700
Fax Number
217-757-7799
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180008205 (Illinois)
Definition
Definition to come...
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