Organization · Type 2 NPI
Vicky Costakis, LCPC LLC
Professional Counselor · Northbrook, IL
NPI number
1437562501
Active
Practice location
60 Revere Dr
Northbrook, IL 60062-1563
Mailing address
1100 Greenwood Ave
Wilmette, IL 60091-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.009161 (IL) |
Professional Counselor: Definition to come...
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About NPI 1437562501
Vicky Costakis, LCPC LLC's National Provider Identifier is 1437562501, issued on Jun 6, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Northbrook, IL. The record was last updated on Jun 6, 2014.