Provider Demographics
NPI:1205457959
Name:JONES-GREER, ANGELA (LCPC)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:JONES-GREER
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 1:1 DEARBORN SQ STE 555
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-3818
Mailing Address - Country:US
Mailing Address - Phone:815-523-0009
Mailing Address - Fax:
Practice Address - Street 1:1 DEARBORN SQ STE 555
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3818
Practice Address - Country:US
Practice Address - Phone:815-523-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
IL178.014983101YP2500X
IL041.276067163W00000X
IL180.014038101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse