Individual provider · NPI-1

Jonathan Arenas

Social Worker, Clinical · Waukegan, IL

NPI number1871964197
StatusActive
Last updated in NPPESNov 10, 2023

Details

NPI
1871964197
Entity type
Individual (NPI-1)
Name
Jonathan Arenas
Sex
Male
Sole proprietor
No
Enumeration date
Oct 13, 2015
Certification date
Nov 10, 2023
Last updated
Nov 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.026038ILYes
101Y00000X Counselor––

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Phone 847-377-8173

Mailing address

3012 Grand Ave
Waukegan, IL 60085-2321

Phone 847-377-8173

Other practice locations

10310 W York House Rd
Beach Park, IL 60087-2402

Phone 224-505-1695 · Fax 224-504-0561

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