CORLISS IVY

ZION, IL
NPI1811584261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.009200)
Enumeration Date2020-12-30
Last Update Date2021-12-09
Business Address
CORLISS IVY LCPC
2520 ELISHA AVE
ZION, IL 60099
Phone number: 224-707-0146
Mailing Address
CORLISS IVY LCPC
206 CEDAR AVE UNIT 664
LAKE VILLA, IL 60046-4629
Phone number: 847-912-4991
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