Allyssa Rose Bertram, LCPC CADC

Counselor · Chicago, IL

Individual Active NPI

NPI number 1366058075

Practice location

4055 W Peterson Ave Ste 202
Chicago, IL 60646-6183
Phone
(773) 774-4444

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NPI record

NPI
1366058075
Entity type
Individual (Type 1)
Enumeration date
September 17, 2020
Last updated
September 17, 2020
Certified
September 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 180.012157 IL

Mailing address

702 Dempster St Apt E105
Mount Prospect, IL 60056-6154
Phone
(440) 452-5245

About Allyssa Bertram

Allyssa Rose Bertram, LCPC CADC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183. The NPI number 1366058075 was assigned on September 17, 2020 and the record was last updated on September 17, 2020.

Allyssa Bertram lists a license in the registry: #180.012157 (IL) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Allyssa Rose Bertram, LCPC CADC?

The NPI number is 1366058075.

What is the phone number of Allyssa Bertram?

The phone number listed for the practice location is (773) 774-4444.

Where is Allyssa Bertram located?

4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183.

What is the taxonomy code for Allyssa Bertram?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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