Constance Vitale, MA

NPI #1720154362 in Highland Park, Illinois

Provider Information

NPI Number: 1720154362
Entity Type: Individual
Name: Constance Vitale, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Nov 27, 2006
Last Updated: Oct 11, 2023

Practice Location

Address: 1250 PARK AVE W APT 430
City: Highland Park
State: Illinois
ZIP Code: 60035-2253
Phone: (773) 315-3625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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