Individual provider · Type 1 NPI

Alyssa L. Park, LCPC

Professional Counselor · Springfield, IL

NPI number 1891039541 Active

Practice location

5220 S 6th Street Rd, Suite 2400
Springfield, IL 62703-5735

Fax (217) 757-7799

Mailing address

710 N 8th St
Springfield, IL 62702-6324

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180008205 (IL)

Professional Counselor: Definition to come...

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About NPI 1891039541

Alyssa L. Park, LCPC's National Provider Identifier is 1891039541, issued on Nov 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Oct 11, 2013.