Healthcare Provider Details

I. General information

NPI: 1245189885
Provider Name (Legal Business Name): AVEDICIAN COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 LAGESCHULTE ST
BARRINGTON IL
60010-4118
US

IV. Provider business mailing address

116 S NORTHWEST HWY
BARRINGTON IL
60010-4608
US

V. Phone/Fax

Practice location:
  • Phone: 312-848-3737
  • Fax: 503-388-3671
Mailing address:
  • Phone: 312-848-3737
  • Fax: 503-388-3671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. VERONICA AVEDICIAN
Title or Position: OWNER/PROVIDER
Credential: LCPC, LPC
Phone: 312-848-3737