Individual
AGNIESZKA MAGDALENA MANTZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CEAP
Contact information
Practice address
132 W LAKE STREET #7, BLOOMINGDALE, IL 60108
(224) 542-9900
Mailing address
808 N RIVER ROAD 3B, MOUNT PROSPECT, IL 60056
(224) 542-9900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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