Lawrence, Theresa Vaccariello

Lawrence, Theresa Vaccariello is an individual health care provider with primary practice located at 612 Oglesby Ave , Normal IL 61761-1888. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lawrence, Theresa Vaccariello can be contacted via phone (309) 557-1124.

Contact Information

Primary practice address
612 Oglesby Ave Normal IL 61761-1888
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004147 Illinois

Profile Details

NPI number 1053552711
LBN Legal business name Lawrence, Theresa Vaccariello
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2009
Last updated Mar 10th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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