Individual
MS. CARMEN ANGBETIC ALFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
292 N CHAMBERS ST, GALESBURG, IL 61401-3835
(309) 342-1136
(309) 342-1891
Mailing address
292 N CHAMBERS ST, GALESBURG, IL 61401-3835
(309) 342-1136
(309) 342-1891
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
180.004066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.004066
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/09/2009
Last updated
06/09/2009
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