Organization
CONNIE VAISVILAS-TAYLOR & ASSOCIATES IN COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE L VAISVILAS-TAYLOR LCPC, CEAP, SAP,CADC (PRESIDENT)
(815) 741-2300
Entity
Organization
Contact information
Practice address
3033 W JEFFERSON ST, SUITE 219, JOLIET, IL 60435-5261
(815) 741-2300
(815) 741-8003
Mailing address
3033 W JEFFERSON ST, SUITE 219, JOLIET, IL 60435-5261
(815) 741-2300
(815) 741-8003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932372
PROVIDER NUMBER BCBS
IL
01
—
339054
PROVIDER NUMBER VALUE OPT
IL
Enumeration date
12/08/2006
Last updated
08/22/2020
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