Individual provider · Type 1 NPI

Mark Vastola, LCPC

Professional Counselor · Chicago, IL

NPI number 1912139601 Active

Practice location

2800 N Sheridan Rd Ste 110
Chicago, IL 60657-6162

Call (773) 807-0841 Map

Fax (773) 819-2995

Other practice locations

  • 444 W Saint James Pl, 603, Chicago, IL 60614-2748 · (773) 807-0841
  • 444 W Saint James Pl, 603, Chicago, IL 60614-2748 · (773) 807-0841

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180006765 (IL)

Professional Counselor: Definition to come...

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About NPI 1912139601

Mark Vastola, LCPC's National Provider Identifier is 1912139601, issued on Aug 14, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 17, 2018.