person
Ms. Samantha Marie Vazquez, LCPC
Mental Health Counselor in Evergreen Park, Illinois
NPI 1790207868

Samantha Marie Vazquez is a Mental Health Counselor based in Evergreen Park, IL and is specialized in Mental Health. Samantha Marie Vazquez practices in Evergreen Park, IL and has the professional credentials of LCPC. The NPI Number for Samantha Marie Vazquez is 1790207868 and holds a License No. 180.011006 (Illinois).

The current practice location address for Samantha Marie Vazquez is 10104 S Utica Ave, Evergreen Park, IL and can be reached out via phone at 304-280-6360.

Location: 10104 S Utica Ave, Evergreen Park, IL, 60805-3527
person
Provider Profile Details
NPI Number
1790207868
Provider Name
Samantha Marie Vazquez
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
10104 S Utica Ave, Evergreen Park, IL, 60805-3527
Phone Number
304-280-6360
Fax Number
Provider Enumeration Date
07/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10104 S Utica Ave
City
State
Zip
60805-3527
Phone Number
304-280-6360
Fax Number
person
Provider Business Mailing Address Details
Address
10104 S Utica Ave
City
State
Zip
60805-3527
Phone Number
304-280-6360
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.011006 (Illinois)
Definition
Definition to come...
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