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Contact Information

SAMANTHA K AGINS, M.A., LCPC
152 ELGIN AVE
FOREST PARK, IL60130
 Phone: 224-639-7776
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SAMANTHA K AGINS · (Female)

NPI # 1275030199
Status Active
Credentials M.A., LCPC
Entity Individual
Enumeration date 04/08/2018
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 178.013428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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