Individual
NICOLE VARVAREZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
Mailing address
1435 E EVERGREEN DR APT 203, PALATINE, IL 60074-8728
(224) 360-4093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
150103135
IL
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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