Untangle Counseling Pllc
NPI #1780276154 in Forest Park, Illinois
Provider Information
- NPI Number
- 1780276154
- Entity Type
- Organization
- Organization Name
- Untangle Counseling Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 8, 2021
- Last Updated
- Feb 8, 2021
Practice Location
- Address
- 152 ELGIN AVE APT 3
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1300
- Phone
- (224) 639-7776
Authorized Official
- Name
- SAMANTHA K AGINS, LCPC
- Title
- MANAGER
- Phone
- (224) 639-7776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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