Individual
ANGELA HERNANDEZ IANAKIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, PMH-C
Contact information
Practice address
2700 KESLINGER RD STE B, GENEVA, IL 60134-4645
(307) 653-2146
(630) 448-5169
Mailing address
43W043 CAMPTON HILLS RD, ELBURN, IL 60119-9435
(815) 980-6740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23399
IL
1041C0700X
Clinical Social Worker
Primary
149015410
IL
Other
Enumeration date
11/16/2006
Last updated
06/06/2023
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