Provider Demographics
NPI:1083284657
Name:WINTERLAND, ALANNA (LPC)
Entity type:Individual
Prefix:MISS
First Name:ALANNA
Middle Name:
Last Name:WINTERLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7789 N COON RD
Mailing Address - Street 2:
Mailing Address - City:DAKOTA
Mailing Address - State:IL
Mailing Address - Zip Code:61018-9652
Mailing Address - Country:US
Mailing Address - Phone:815-275-9211
Mailing Address - Fax:
Practice Address - Street 1:16255 HARTMAN RD
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:IL
Practice Address - Zip Code:61019-9201
Practice Address - Country:US
Practice Address - Phone:815-216-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
IL178.020586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician