Provider Demographics
NPI:1588263552
Name:CONTRERAS, ADIANIS (LCPC)
Entity type:Individual
Prefix:
First Name:ADIANIS
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15025 S DES PLAINES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1868
Mailing Address - Country:US
Mailing Address - Phone:630-955-7808
Mailing Address - Fax:877-428-7891
Practice Address - Street 1:15025 S DES PLAINES ST STE 201
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1868
Practice Address - Country:US
Practice Address - Phone:630-955-7808
Practice Address - Fax:877-428-7891
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180016919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional