Individual
INDIRA DECIRET VENCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 E PALATINE RD STE 207, PALATINE, IL 60067-5132
(847) 450-6190
Mailing address
119 E PALATINE RD STE 207, PALATINE, IL 60067-5132
(847) 596-0785
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/17/2017
Last updated
06/18/2024
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