Individual provider · Type 1 NPI

Jacqueline Lissette Vaca, LPC

Professional Counselor · Chicago, IL

NPI number 1487942454 Active

Practice location

1432 N Hamlin Ave
Chicago, IL 60651-2142

Call (773) 805-6738 Map

Mailing address

5100 N Ravenswood Ave, Suite 245
Chicago, IL 60640-2713

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178.006285 (IL)
Professional Counselor Primary 101YP2500X180.008127 (IL)

Professional Counselor: Definition to come...

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About NPI 1487942454

Jacqueline Lissette Vaca, LPC's National Provider Identifier is 1487942454, issued on Jul 12, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 10, 2014.