Individual
MR. EDWIN VIGLIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
755 ALMAR PKWY, BOURBONNAIS, IL 60914-2392
(815) 216-8029
Mailing address
1080 S MYRTLE AVE, KANKAKEE, IL 60901-5458
(815) 216-8029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017366
IL
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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