Organization
ADVANTAGE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANA MICHELLE DURPETTI LCSW (DIRECTOR OF EAP SERVICES)
(847) 658-4224
Entity
Organization
Contact information
Practice address
1138 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 658-4224
(847) 658-4226
Mailing address
1138 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 658-4224
(847) 658-4226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23496
IL
101YP2500X
Professional Counselor
180006721
IL
1041C0700X
Clinical Social Worker
Primary
149008798
IL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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