Individual provider · Type 1 NPI

Edwin Viglia Iii, LPC

Mental Health Counselor · Bourbonnais, IL

NPI number 1396405353 Active

Practice location

755 Almar Pkwy
Bourbonnais, IL 60914-2392

Call (815) 216-8029 Map

Mailing address

1080 S Myrtle Ave
Kankakee, IL 60901-5458

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.017366 (IL)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1396405353

Edwin Viglia Iii, LPC's National Provider Identifier is 1396405353, issued on Dec 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bourbonnais, IL. The record was last updated on Dec 17, 2021.