Provider Demographics
NPI:1336352657
Name:AGLIKIN, TANIA DIMITER (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:DIMITER
Last Name:AGLIKIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1845 S MICHIGAN AVE
Mailing Address - Street 2:UNIT 1505
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2376
Mailing Address - Country:US
Mailing Address - Phone:773-251-4213
Mailing Address - Fax:219-756-8203
Practice Address - Street 1:8120 GEORGIA ST
Practice Address - Street 2:SUITE D
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6390
Practice Address - Country:US
Practice Address - Phone:219-756-8201
Practice Address - Fax:219-756-8203
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.001211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional