Individual
ANGELICA CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10725 S WESTERN AVE, CHICAGO, IL 60643-3217
(773) 270-1042
Mailing address
1318 W 107TH ST, CHICAGO, IL 60643-3632
(773) 331-4029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011545
IL
Other
Enumeration date
10/22/2015
Last updated
12/08/2022
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