Provider Demographics
NPI:1427704071
Name:GADJANSKI, SNEZANA (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SNEZANA
Middle Name:
Last Name:GADJANSKI
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 1:4160 IL ROUTE 83 STE 208
Mailing Address - Street 2:
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8034
Mailing Address - Country:US
Mailing Address - Phone:224-286-1077
Mailing Address - Fax:224-286-1160
Practice Address - Street 1:4160 IL ROUTE 83 STE 208
Practice Address - Street 2:
Practice Address - City:LONG GROVE
Practice Address - State:IL
Practice Address - Zip Code:60047-8034
Practice Address - Country:US
Practice Address - Phone:224-286-1077
Practice Address - Fax:224-286-1160
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180014156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional