Provider Demographics
NPI:1578388864
Name:HARDMAN, ANGELICA (LPC)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TOWER DR STE 236
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5787
Mailing Address - Country:US
Mailing Address - Phone:630-923-5558
Mailing Address - Fax:630-891-3130
Practice Address - Street 1:100 TOWER DR STE 236
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5787
Practice Address - Country:US
Practice Address - Phone:630-923-5558
Practice Address - Fax:630-891-3130
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health