Nicholas Brigagliano
Counselor in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1851784375
StatusActive
Last updated in NPPESMar 8, 2015
Details
- NPI
- 1851784375
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Brigagliano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2015
- Last updated
- Mar 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 180.009556 | IL | Yes |
Practice location
500 Coventry Ln Ste 205Crystal Lake, IL 60014-7555
Phone 815-455-7100
Mailing address
4140 N Pheasant Trail Ct Unit 7Arlington Heights, IL 60004-7992
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