Individual
DEREK VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1263 W LOYOLA AVE, CHICAGO, IL 60626-6537
(773) 274-4600
Mailing address
1632 RIVERVIEW AVE, DES PLAINES, IL 60018-2263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180012640
IL
Other
Enumeration date
08/18/2019
Last updated
12/26/2019
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