Provider Demographics
NPI:1851956916
Name:KONAR, ADRIANA (LCPC)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:KONAR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 DES PLAINES LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-3308
Mailing Address - Country:US
Mailing Address - Phone:224-715-2907
Mailing Address - Fax:
Practice Address - Street 1:210 DES PLAINES LN
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-3308
Practice Address - Country:US
Practice Address - Phone:224-715-2907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-04
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178014781101YP2500X
IL180014373101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional