Most Relevant Information
Provider Data
| NPI Number: | 1003322967 |
| Provider Name: | YVETTE CAMACHO LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180.010502 |
Most Important Dates
| Enumeration Date: | 12/14/2017 |
| Last Updated: | 12/14/2017 |
Provider Practice Location
3139 N LINCOLN AVE STE 202
CHICAGO
IL
606573122
Practice Location Phone/Fax
| Phone: | 7739981624 |
| Fax: |
Provider Mailing Location
11819 S RIDGEWAY AVE
ALSIP
IL
608034232
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |