IndividualActive
Anastacia Favela, MA, MS, LPC
NPI 1104638543 · Mental Health Counselor · Oak Brook, IL
Provider details
- NPI number
- 1104638543
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, MS, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178021236 (IL)
Practice location
1000 Jorie Blvd Ste 206
Oak Brook, IL 60523-4482
Phone: (630) 752-9874
Mailing address
1000 Jorie Blvd Ste 206
Oak Brook, IL 60523-4482
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.