Lasdavahn Ashley Vongphakdy
Counselor, Mental Health in Aurora, IL. Individual provider (NPI-1).
NPI number1003663501
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1003663501
- Entity type
- Individual (NPI-1)
- Name
- Lasdavahn Ashley Vongphakdy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1230 N Highland AveAurora, IL 60506-1401
Phone 630-966-4331
Mailing address
1230 N Highland AveAurora, IL 60506-1401
Phone 630-966-4331
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