Individual provider · Type 1 NPI

Anna Lobanova

Mental Health Counselor · Forest Park, IL

NPI number 1629593231 Active

Practice location

8311 Roosevelt Rd
Forest Park, IL 60130-2529

Call (847) 962-8413 Map

Fax (630) 810-9193

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.004417 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1629593231

Anna Lobanova's National Provider Identifier is 1629593231, issued on Aug 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Park, IL. The record was last updated on Jul 21, 2022.