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Peter Agostino
Professional Counselor in Evanston, Illinois
NPI 1013568989

Peter Agostino is a Professional Counselor based in Evanston, IL and is specialized in Professional. Peter Agostino practices in Evanston, IL. The NPI Number for Peter Agostino is 1013568989 and holds a License No. 178010832 (Illinois).

The current practice location address for Peter Agostino is 1327 Ashland Ave Apt 1, Evanston, IL and can be reached out via phone at 574-876-6235.

Location: 1327 Ashland Ave Apt 1, Evanston, IL, 60201-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013568989
Provider Name
Peter Agostino
Credential
Provider Entity Type
Individual
Gender
Male
Address
1327 Ashland Ave Apt 1, Evanston, IL, 60201-6805
Phone Number
574-876-6235
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1327 Ashland Ave Apt 1
City
Evanston
State
Illinois
Zip
60201-6805
Phone Number
574-876-6235
Fax Number
person
Provider Business Mailing Address Details
Address
1327 Ashland Ave Apt 1
City
Evanston
State
Illinois
Zip
60201-6805
Phone Number
574-876-6235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178010832 (Illinois)
Definition
Definition to come...
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