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Jacqueline Lissette Vaca, LPC
Professional Counselor in Chicago, Illinois
NPI 1487942454

Jacqueline Lissette Vaca is a Professional Counselor based in Chicago, IL and is specialized in Professional. Jacqueline Lissette Vaca practices in Chicago, IL and has the professional credentials of LPC. The NPI Number for Jacqueline Lissette Vaca is 1487942454 and holds a License No. 178.006285 (Illinois).

The current practice location address for Jacqueline Lissette Vaca is 1432 N Hamlin Ave, Chicago, IL and can be reached out via phone at 773-805-6738.

Location: 1432 N Hamlin Ave, Chicago, IL, 60640-2713
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Provider Profile Details
NPI Number
1487942454
Provider Name
Jacqueline Lissette Vaca
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1432 N Hamlin Ave, Chicago, IL, 60640-2713
Phone Number
773-805-6738
Fax Number
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616824 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1432 N Hamlin Ave
City
State
Zip
60651-2142
Phone Number
773-805-6738
Fax Number
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Provider Business Mailing Address Details
Address
1432 N Hamlin Ave
City
State
Zip
60651-2142
Phone Number
773-805-6738
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.006285 (Illinois)
Definition
Definition to come...
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