Provider Demographics
NPI:1467951269
Name:HAKIMIAN, ALYSSA REBECCA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:REBECCA
Last Name:HAKIMIAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:REBECCA
Other - Last Name:NAIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3427 N SEELEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6113
Mailing Address - Country:US
Mailing Address - Phone:414-791-3488
Mailing Address - Fax:
Practice Address - Street 1:3427 N SEELEY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-6113
Practice Address - Country:US
Practice Address - Phone:414-791-3488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional