Individual
ALEXIS AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
118 S MAIN ST STE 5, WAUCONDA, IL 60084-1859
(847) 508-6399
Mailing address
28038 W HOMESTEAD CT, LAKEMOOR, IL 60051-6662
(847) 508-6399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33165
IL
101YP2500X
Professional Counselor
Primary
180013436
IL
Other
Enumeration date
10/06/2016
Last updated
04/07/2021
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