Individual
MRS. DIANE ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC, NCC
Contact information
Practice address
265 STONEGATE RD STE 102, ALGONQUIN, IL 60102-5614
(224) 678-9180
(224) 678-9369
Mailing address
111 S BUTRICK ST, WAUKEGAN, IL 60085-5305
(224) 656-2290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178020061
IL
101YP2500X
Professional Counselor
178020061
IL
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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