Organization · Type 2 NPI

Mvickmanltd

Professional Counselor · Chicago, IL

NPI number 1942553623 Active

Practice location

200 W Superior St, Suite 403
Chicago, IL 60654-3553

Call (847) 660-3747 Map

Mailing address

3318 Grant St
Evanston, IL 60201-1830

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1942553623

Mvickmanltd's National Provider Identifier is 1942553623, issued on Oct 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Nov 15, 2012.