person
Glory Kosmatka
Mental Health Counselor in Antioch, Illinois
NPI 1114399219

Glory Kosmatka is a Mental Health Counselor based in Lake Villa, IL and is specialized in Mental Health. Glory Kosmatka practices in Antioch, IL. The NPI Number for Glory Kosmatka is 1114399219 and holds a License No. 180005858 (Illinois).

The current practice location address for Glory Kosmatka is 800 Main St Ste 5, Antioch, IL and can be reached out via phone at 847-838-9904.

Location: 800 Main St Ste 5, Antioch, IL, 60046-0887
person
Provider Profile Details
NPI Number
1114399219
Provider Name
Glory Kosmatka
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Main St Ste 5, Antioch, IL, 60046-0887
Phone Number
847-838-9904
Fax Number
Provider Enumeration Date
10/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Main St Ste 5
City
State
Zip
60002-1542
Phone Number
847-838-9904
Fax Number
person
Provider Business Mailing Address Details
Address
800 Main St Ste 5
City
State
Zip
60002-1542
Phone Number
847-838-9904
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180005858 (Illinois)
Definition
Definition to come...
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