| Lavina Velasco Counseling, Pllc | |
|
2516 Waterville Dr Champaign IL 61822-7416 | |
| (217) 990-8309 | |
| Not Available |
| Full Name | Lavina Velasco Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2516 Waterville Dr, Champaign, Illinois |
| Authorized Official Name and Position | Lavina Velasco (OWNER) |
| Authorized Official Contact | 2179918309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavina Velasco Counseling, Pllc 1717 W Kirby Ave # 401 Champaign IL 61821-5507 Ph: (217) 990-8309 | Lavina Velasco Counseling, Pllc 2516 Waterville Dr Champaign IL 61822-7416 Ph: (217) 990-8309 |
| NPI Number | 1013630193 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013630193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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