Individual provider · Type 1 NPI

Lasdavahn Ashley Vongphakdy

Mental Health Counselor · Aurora, IL

NPI number 1003663501 Active

Practice location

1230 N Highland Ave
Aurora, IL 60506-1401

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1003663501

Lasdavahn Ashley Vongphakdy's National Provider Identifier is 1003663501, issued on May 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aurora, IL. The record was last updated on May 2, 2024.