person
Anna Lobanova
Mental Health Counselor in Forest Park, Illinois
NPI 1629593231

Anna Lobanova is a Mental Health Counselor based in Forest Park, IL and is specialized in Mental Health. Anna Lobanova practices in Forest Park, IL. The NPI Number for Anna Lobanova is 1629593231 and holds a License No. 178.004417 (Illinois).

The current practice location address for Anna Lobanova is 8311 Roosevelt Rd, Forest Park, IL and can be reached out via phone at 847-962-8413 and via fax at 630-810-9193.

Location: 8311 Roosevelt Rd, Forest Park, IL, 60130-2529
person
Provider Profile Details
NPI Number
1629593231
Provider Name
Anna Lobanova
Credential
Provider Entity Type
Individual
Gender
Female
Address
8311 Roosevelt Rd, Forest Park, IL, 60130-2529
Phone Number
847-962-8413
Fax Number
630-810-9193
Provider Enumeration Date
08/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8311 Roosevelt Rd
City
State
Zip
60130-2529
Phone Number
847-962-8413
Fax Number
630-810-9193
person
Provider Business Mailing Address Details
Address
8311 Roosevelt Rd
City
State
Zip
60130-2529
Phone Number
847-962-8413
Fax Number
630-810-9193
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.004417 (Illinois)
Definition
Definition to come...
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