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1912139601
MARK VASTOLA
CHICAGO, IL
NPI
1912139601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180006765)
Enumeration Date
2009-08-14
Last Update Date
2018-03-17
Business Address
MARK VASTOLA LCPC
2800 N SHERIDAN RD STE 110
CHICAGO, IL 60657-6162
Phone number: 773-807-0841
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Mailing Address
MARK VASTOLA LCPC
2800 N SHERIDAN RD STE 110
CHICAGO, IL 60657-6162
Phone number: 773-807-0841
Copy
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