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Individual

MRS. VICTORIA R LAVICK-SCUDDER

Active
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Individual

MRS. VICTORIA R LAVICK-SCUDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25060
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
27266
IL
101YM0800X
Mental Health Counselor
Primary
180.007740
IL
101YP2500X
Professional Counselor
180007740
IL

Other

Enumeration date
03/02/2016
Last updated
06/26/2024
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