Individual
ANNA ELAGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, CADC
Contact information
Practice address
404 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440-1898
(872) 760-4353
Mailing address
625 FOREST WAY, BOLINGBROOK, IL 60440-2518
(872) 760-4353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
01/28/2025
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