Provider Demographics
NPI:1972932275
Name:KOWIESKI, ALLISON ANN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ANN
Last Name:KOWIESKI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:ANN
Other - Last Name:FALLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7220
Mailing Address - Country:US
Mailing Address - Phone:773-312-9385
Mailing Address - Fax:847-349-1619
Practice Address - Street 1:2500 W HIGGINS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7220
Practice Address - Country:US
Practice Address - Phone:773-312-9385
Practice Address - Fax:847-349-1619
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional