Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SAMANTHA MARIE VAZQUEZ, LCPC
Active Sole ProprietorMS. SAMANTHA MARIE VAZQUEZ, LCPC is a Mental Health Counselor healthcare provider located in EVERGREEN PARK, Illinois. NPI 1790207868 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1790207868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2017 (8.9086776781374 yrs)
- Last Updated
- Dec 19, 2023
- License
-
180.011006 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10104 S UTICA AVEEVERGREEN PARK, IL, 608053527Browse IL providers · Browse ZIP 60805
- Phone
- 3042806360
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| TOM JACOBS | LCPC | 1588787188 |
| MR. CALEX M THOMAS | LCPC | 1548593734 |
| TAMMY ROHAN BOBEL | LCPC | 1902126139 |
| MS. JESSICA L OLSON | LCPC | 1952673147 |
| MS. VIVIANA ANDREA DIAZ | — | 1548671506 |
| MRS. MICHELLE MARIE KELLER | — | 1295273852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.