Individual
CECELIA MARY VANOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 SHADY LN, SHOREWOOD, IL 60431-9782
(815) 741-1487
(815) 741-1487
Mailing address
410 SHADY LN, SHOREWOOD, IL 60431-9782
(815) 741-1487
(815) 741-1487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9926911
BCBS PROVIDER ID
IL
Enumeration date
10/13/2006
Last updated
07/08/2007
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