Individual
ANTHONY J. IACUBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.P.C.
Contact information
Practice address
508 CENTRAL AVE STE 210, HIGHLAND PARK, IL 60035-3271
(847) 780-0055
(847) 926-7033
Mailing address
1344 BURR OAK RD, LAKE FOREST, IL 60045-1215
(847) 668-5660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004987
IL
Other
Enumeration date
01/30/2006
Last updated
11/07/2024
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