Individual provider · Type 1 NPI

Derek Vincent, LCPC

Professional Counselor · Chicago, IL

NPI number 1376199075 Active

Practice location

1263 W Loyola Ave
Chicago, IL 60626-6537

Mailing address

1632 Riverview Ave
Des Plaines, IL 60018-2263

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180012640 (IL)

Professional Counselor: Definition to come...

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About NPI 1376199075

Derek Vincent, LCPC's National Provider Identifier is 1376199075, issued on Aug 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 26, 2019.