Individual
VANESSA CAROLINA TERCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 N CLYBOURN AVE, CHICAGO, IL 60614-1918
(773) 888-1681
Mailing address
2464 N CLYBOURN AVE, CHICAGO, IL 60614-1918
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.001162
IL
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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