Individual
ANDRES ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 776-4500
(847) 776-4724
Mailing address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 776-4500
(847) 776-4724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149007194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149007194
LCSW
IL
Enumeration date
10/05/2006
Last updated
10/08/2009
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