person
Ms. Samantha Kelsey Agins, MA,LCPC
Mental Health Counselor in Forest Park, Illinois
NPI 1275030199

Samantha Kelsey Agins is a Mental Health Counselor based in Forest Park, IL and is specialized in Mental Health. Samantha Kelsey Agins practices in Forest Park, IL and has the professional credentials of MA,LCPC. The NPI Number for Samantha Kelsey Agins is 1275030199 and holds a License No. 178.013428 (Illinois).

The current practice location address for Samantha Kelsey Agins is 152 Elgin Ave, Forest Park, IL and can be reached out via phone at 224-639-7776.

Location: 152 Elgin Ave, Forest Park, IL, 60130-4433
person
Provider Profile Details
NPI Number
1275030199
Provider Name
Samantha Kelsey Agins
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
152 Elgin Ave, Forest Park, IL, 60130-4433
Phone Number
224-639-7776
Fax Number
Provider Enumeration Date
04/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
152 Elgin Ave
City
State
Zip
60130
Phone Number
224-639-7776
Fax Number
person
Provider Business Mailing Address Details
Address
152 Elgin Ave
City
State
Zip
60130
Phone Number
224-639-7776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.013428 (Illinois)
Definition
Definition to come...
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