Individual
RUSLANA MENASCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11914 ILLINOIS RTE 59, SUITE 134, PLAINFIELD, IL 60585-5855
(815) 469-1500
Mailing address
11914 ILLINOIS RTE 59, SUITE 134, PLAINFIELD, IL 60585
(630) 509-4911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180011352
IL
171M00000X
Case Manager/Care Coordinator
178.010794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.011352
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
04/28/2015
Last updated
05/08/2022
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