Vazquez, Samantha Marie

Vazquez, Samantha Marie is an sole proprietor health care provider with primary practice located at 10104 S Utica Ave , Evergreen Park IL 60805-3527. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vazquez, Samantha Marie can be contacted via phone (304) 280-6360.

Contact Information

Primary practice address
10104 S Utica Ave Evergreen Park IL 60805-3527
Phone: (304) 280-6360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.011006 Illinois

Profile Details

NPI number 1790207868
LBN Legal business name Vazquez, Samantha Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2017
Last updated Dec 19th, 2023 - about 2 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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