Individual
DR. ADA ELIZABETH VIECELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2135 W RAMADA LN, CARBONDALE, IL 62901-5326
(618) 303-6547
Mailing address
7695 GIANT CITY RD, CARBONDALE, IL 62902-6128
(618) 303-6547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003677
IL
Other
Enumeration date
10/17/2006
Last updated
03/14/2017
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