Healthcare Provider Details

I. General information

NPI: 1215840616
Provider Name (Legal Business Name): JENNA ALASKAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N GREEN ST
CHICAGO IL
60642-5996
US

IV. Provider business mailing address

2323 N KEDZIE BLVD APT 3
CHICAGO IL
60647-6942
US

V. Phone/Fax

Practice location:
  • Phone: 312-620-8836
  • Fax:
Mailing address:
  • Phone: 509-868-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.033470
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: