Individual
ANGELA PEREGUD-AKSIMENTYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
101 E LIBERTY LN, DANVILLE, IL 61832-1442
(217) 431-8825
(217) 431-8827
Mailing address
101 E LIBERTY LN, DANVILLE, IL 61832-1442
(217) 431-8825
(217) 431-8827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3360
—
IL
Enumeration date
11/05/2014
Last updated
05/19/2021
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