Organization
LAVINA VELASCO COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVINA VELASCO LCPC (OWNER)
(217) 991-8309
Entity
Organization
Contact information
Practice address
2516 WATERVILLE DR, CHAMPAIGN, IL 61822-7416
(217) 990-8309
Mailing address
1717 W KIRBY AVE # 401, CHAMPAIGN, IL 61821-5507
(217) 990-8309
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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