Search › Illinois › 101YM0800X
Samantha Vazquez, LCPC
NPI 1790207868 · on the registry since 2017 · sole proprietor
Practice
- Address
- 10104 S Utica Ave
Evergreen Park, IL 60805 - Phone
- (304) 280-6360
- Organisation at this address
- Evergrace Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois