Vandeveer, Vicki L
Vandeveer, Vicki L is an sole proprietor health care provider with primary practice located at 2659 Farragut Dr , Springfield IL 62704-1459. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Vandeveer, Vicki L can be contacted via phone (217) 726-7273.Contact Information
Primary practice address
2659 Farragut Dr
Springfield IL 62704-1459
Phone: (217) 726-7273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180001778 | Illinois |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 16600339 | Illinois |
Profile Details
NPI number | 1508997875 |
---|---|
LBN Legal business name | Vandeveer, Vicki L |
Credentials | MA, LCPC, LMFT, CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Apr 20th, 2010 - about 14 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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