person
Yvonne Licavoli
Professional Counselor in Swansea, Illinois
NPI 1760113005

Yvonne Licavoli is a Professional Counselor based in Fairview Heights, IL and is specialized in Professional. Yvonne Licavoli practices in Swansea, IL. The NPI Number for Yvonne Licavoli is 1760113005 and holds a License No. 178015261 (Illinois).

The current practice location address for Yvonne Licavoli is 4509 N Illinois St Ste 4, Swansea, IL and can be reached out via phone at 314-669-5060. You can also correspond with Yvonne Licavoli through the mailing address at 9626 RIDGE HEIGHTS RD, FAIRVIEW HEIGHTS, IL - 62208-2319 (mailing address contact number: 314-397-1428).

Location: 4509 N Illinois St Ste 4, Swansea, IL, 62208-2319
person
Provider Profile Details
NPI Number
1760113005
Provider Name
Yvonne Licavoli
Credential
Provider Entity Type
Individual
Gender
Female
Address
4509 N Illinois St Ste 4, Swansea, IL, 62208-2319
Phone Number
314-669-5060
Fax Number
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4509 N Illinois St Ste 4
City
State
Zip
62226-1524
Phone Number
314-669-5060
Fax Number
person
Provider Business Mailing Address Details
Address
4509 N Illinois St Ste 4
City
State
Zip
62226-1524
Phone Number
314-669-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178015261 (Illinois)
Definition
Definition to come...
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