SearchIllinois101YM0800X

Samantha Agins, M.A., LCPC

NPI 1275030199 · on the registry since 2018 · sole proprietor

Practice

Address
152 Elgin Ave
Forest Park, IL 60130
Phone
(224) 639-7776
Organisation at this address
Untangle Counseling Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois