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

Ilona Alisudjana, LAC

Individual provider Counselor · NPI 1811691959

Ilona Alisudjana, LAC is a Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone: (602) 230-7373
Fax: (602) 441-5836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LAC-21903 (AZ)

Record details

NPI number1811691959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

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