Individual
PAMELA ELLEN VANCOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, LPN, QMHP
Contact information
Practice address
7338 S DANTE AVE, CHICAGO, IL 60619-2117
(773) 983-6066
Mailing address
7338 S DANTE AVE, CHICAGO, IL 60619-2117
(773) 983-6066
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
Primary
—
IL
164W00000X
Licensed Practical Nurse
43053264
IL
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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