Individual
MS. ANASTASIA VAILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
440 LAKE COOK RD STE 1, DEERFIELD, IL 60015-5263
(847) 892-6000
Mailing address
PO BOX 3837, NAPERVILLE, IL 60567-3837
(847) 892-6000
(847) 892-6151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180013852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780993
STATE OF ILLINOIS
IL
Enumeration date
11/13/2014
Last updated
06/03/2025
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