Individual
AMANDA STAVRIANI PROKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 W ALGONQUIN RD, PALATINE, IL 60067-4791
(847) 221-7123
Mailing address
1421 S FAIRVIEW AVE, PARK RIDGE, IL 60068-5209
(847) 894-1611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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