Provider Demographics
NPI:1265142632
Name:SENFT, ALISON ROSE
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ROSE
Last Name:SENFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2668 PECOS CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-3709
Mailing Address - Country:US
Mailing Address - Phone:630-392-3242
Mailing Address - Fax:
Practice Address - Street 1:2400 HAWKS DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3801
Practice Address - Country:US
Practice Address - Phone:630-392-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health