Individual
ANGELA MARIE ILLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C., N.C.C.
Contact information
Practice address
1215 N GREENGATE RD STE D, JEANNETTE, PA 15644-4081
(724) 832-1700
(724) 853-6704
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC016849
PA
Other
Enumeration date
09/14/2021
Last updated
05/21/2024
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