Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Allyssa Rose Bertram, LCPCCADC

Individual provider Counselor · NPI 1366058075

Allyssa Rose Bertram, LCPCCADC is a Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

4055 W Peterson Ave Ste 202
Chicago, IL 60646-6183
Phone: (773) 774-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180.012157 (IL)

Record details

NPI number1366058075
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPCCADC
Sole proprietorYes
NPI enumeratedSeptember 17, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

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