MS. ALISHA FULLER LPC
NPI 1124653613
Counselor - Professional in Chicago, IL
Active since March 05, 2020
About Ms. Alisha Fuller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALISHA FULLER LPC (NPI 1124653613) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178014325) and active in the NPI registry since March 2020. She maintains a secondary practice location in Chicago.
NPPES Registry Identity
NPI1124653613
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ALISHA FULLERCredential: LPC
Location Address9718 S HALSTED STChicago, IL 60628-1007
Mailing Address9718 S Halsted StChicago, IL 60628-1007
Phone(773) 233-4100
Sole ProprietorNo
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1124653613 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178014325
9718 S HALSTED ST, Chicago, IL 60628
Secondary Practice Location 1
Location 19144 S Laflin StChicago, IL 60620-5113 · Phone (773) 449-0243
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124653613, enumerated as an "individual" on March 05, 2020.
The provider is located at 9718 S HALSTED ST CHICAGO, IL 60628 and the phone number is (773) 233-4100.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
