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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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