Provider Demographics
NPI:1407194947
Name:DABROWSKA, AGNIESZKA (LPC)
Entity Type:Individual
Prefix:
First Name:AGNIESZKA
Middle Name:
Last Name:DABROWSKA
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 1:603 GENEVA RD
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-4201
Mailing Address - Country:US
Mailing Address - Phone:630-402-7757
Mailing Address - Fax:
Practice Address - Street 1:603 GENEVA RD
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-4201
Practice Address - Country:US
Practice Address - Phone:630-402-7757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL178.008688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health