JACQUELINE LISSETTE VACA LPC NPI 1487942454

NPI Information

NPI: 1487942454
Provider Name: JACQUELINE LISSETTE VACA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1432 N HAMLIN AVE
CHICAGO, IL
ZIP 60651
Phone: (773) 805-6738
Get Directions

Jacqueline Lissette Vaca, LPC is a professional counselor in Chicago, IL. Jacqueline Lissette Vaca, LPC NPI is 1487942454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1432 N HAMLIN AVE
CHICAGO, IL
ZIP 60651-142
Phone: (773) 805-6738

The enumeration date for this NPI number is 7/12/2011 and was last updated on 12/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178.006285	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.008127	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1616824	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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