Provider Demographics
NPI:1508216086
Name:DULLI, ALISON TAYLOR (LCPC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:TAYLOR
Last Name:DULLI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 APPOMATTOX CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7103
Mailing Address - Country:US
Mailing Address - Phone:630-479-9581
Mailing Address - Fax:
Practice Address - Street 1:13246 S ROUTE 59 STE 220
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9807
Practice Address - Country:US
Practice Address - Phone:630-479-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009945101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional