Provider Demographics
NPI:1033863626
Name:ANGELOV, CVETOMILA L (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:CVETOMILA
Middle Name:L
Last Name:ANGELOV
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:CVETOMILA
Other - Middle Name:L
Other - Last Name:NAYDENOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22W321 AHLSTRAND RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-7150
Mailing Address - Country:US
Mailing Address - Phone:224-538-0129
Mailing Address - Fax:
Practice Address - Street 1:1250 N MILL ST STE 102
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-6305
Practice Address - Country:US
Practice Address - Phone:224-538-0219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional