Individual
MS. TAYLOR NICOLE VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 HIGHLAND AVE, OAK PARK, IL 60304-2243
(773) 413-8447
Mailing address
541 TERRACE LN, SOUTH ELGIN, IL 60177-2254
(847) 532-4435
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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