Individual
ANGELA MARIE COSTANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-8824
Mailing address
350 S. NORTHWEST HWY, PARK RIDGE, IL 60068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010333
IL
Other
Enumeration date
08/26/2012
Last updated
09/06/2017
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