Vicky Costakis, Lcpc LLC
NPI #1437562501 in Northbrook, Illinois
Provider Information
- NPI Number
- 1437562501
- Entity Type
- Organization
- Organization Name
- Vicky Costakis, Lcpc LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 6, 2014
- Last Updated
- Jun 6, 2014
Practice Location
- Address
- 60 REVERE DR
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-1563
- Phone
- (847) 644-5133
Authorized Official
- Name
- VICTORIA A COSTAKIS, LCPC
- Title
- MANAGER
- Phone
- (847) 644-5133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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