Individual
ANITA VONGLUEKIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9730 S WESTERN AVE STE 418, EVERGREEN PARK, IL 60805-2777
(630) 664-3658
Mailing address
7116 W 75TH ST, CHICAGO, IL 60638-5933
(312) 433-9815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178020554
IL
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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