Individual
BIANA MAVASHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
994 COVENTRY LN, HIGHLAND PARK, IL 60035-3748
(847) 924-1440
Mailing address
994 COVENTRY LN, HIGHLAND PARK, IL 60035-3748
(847) 924-1440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.011617
IL
101YP2500X
Professional Counselor
Primary
180.013814
IL
Other
Enumeration date
09/08/2016
Last updated
01/10/2022
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