Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 180007225 | IL |
NPI | 1003155672 |
---|---|
Provider Name | Mrs. Aditra Allison Albright |
First Address | Evergreen Park, IL 60805-1508 |
Second Address | Evergreen Park, IL 60805-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2013 |
Last Update Date | 02/02/2013 |