Individual
MRS. COLLEEN CATHERINE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
Mailing address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33072
IL
101YP2500X
Professional Counselor
Primary
180.010789
IL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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