| Melissa S Kostial-janos Lcsw Acsw | |
|
135 N Greenleaf St Ste 228 Gurnee IL 60031-3393 | |
| (224) 603-1199 | |
| Not Available |
| Full Name | Melissa S Kostial-janos Lcsw Acsw |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 135 N Greenleaf St, Gurnee, Illinois |
| Authorized Official Name and Position | Melissa Susan Kostial-janos (PRESIDENT/ OWNER) |
| Authorized Official Contact | 2246031199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa S Kostial-janos Lcsw Acsw 1191 Blue Heron Cir Antioch IL 60002-6403 Ph: (708) 308-3938 | Melissa S Kostial-janos Lcsw Acsw 135 N Greenleaf St Ste 228 Gurnee IL 60031-3393 Ph: (224) 603-1199 |
| NPI Number | 1932577376 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932577376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 149001506 (Illinois) | Primary |
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