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NPI Code Detail

MEDICARE: BETH ANN ARVIA LPC

MEDICARE: BETH ANN ARVIA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178014889IL

General Provider Information

NPI Number : 1114584240
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANN ARVIA LPC
Provider Business Mailing Address
First Line : 15127 S 73RD AVE STE C
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3463
Country : US
Telephone Number : 708-586-9303
Fax Number : 866-950-9427
Provider Business Practice Location Address
First Line : 15127 S 73RD AVE STE C
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3463
Country : US
Telephone Number : 708-586-9303
Fax Number : 866-950-9427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/31/2019

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Directions to “ BETH ANN ARVIA LPC” Practice Location

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