Individual
ANASTACIA MARIE FAVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, LPC
Contact information
Practice address
1000 JORIE BLVD STE 206, OAK BROOK, IL 60523-4482
(630) 752-9874
Mailing address
1000 JORIE BLVD STE 206, OAK BROOK, IL 60523-4482
(630) 752-9874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178021236
IL
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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