person
Mark Vastola, LCPC
Professional Counselor in Chicago, Illinois
NPI 1912139601

Mark Vastola is a Professional Counselor based in Chicago, IL and is specialized in Professional. Mark Vastola practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Mark Vastola is 1912139601 and holds a License No. 180006765 (Illinois).

The current practice location address for Mark Vastola is 2800 N Sheridan Rd Ste 110, Chicago, IL and can be reached out via phone at 773-807-0841 and via fax at 773-819-2995.

Location: 2800 N Sheridan Rd Ste 110, Chicago, IL, 60657-6162
person
Provider Profile Details
NPI Number
1912139601
Provider Name
Mark Vastola
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
2800 N Sheridan Rd Ste 110, Chicago, IL, 60657-6162
Phone Number
773-807-0841
Fax Number
773-819-2995
Provider Enumeration Date
08/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2800 N Sheridan Rd Ste 110
City
State
Zip
60657-6162
Phone Number
773-807-0841
Fax Number
773-819-2995
person
Provider Business Mailing Address Details
Address
2800 N Sheridan Rd Ste 110
City
State
Zip
60657-6162
Phone Number
773-807-0841
Fax Number
773-819-2995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180006765 (Illinois)
Definition
Definition to come...
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