LAVINA VELASCO

CHAMPAIGN, IL
NPI1578047999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MD  LC11120)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: MD  LGP8399)
101YP2500X Counselor, Professional
(Licence: IL  180014477)
Enumeration Date2018-09-21
Last Update Date2022-09-22
Business Address
LAVINA VELASCO LCPC
2516 WATERVILLE DR
CHAMPAIGN, IL 61822-7416
Phone number: 217-991-8309
Mailing Address
LAVINA VELASCO LCPC
1717 W KIRBY AVE # 401
CHAMPAIGN, IL 61821-5507
Phone number: 217-991-8309