=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245189885
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AVEDICIAN COUNSELING AND WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2026
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 421 LAGESCHULTE ST
-----------------------------------------------------
City | BARRINGTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60010-4118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-848-3737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 421 LAGESCHULTE ST
-----------------------------------------------------
City | BARRINGTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60010-4118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-848-3737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER/OWNER
-----------------------------------------------------
Name | MS. VERONICA AVEDICIAN
-----------------------------------------------------
Credential | LCPC, LPC
-----------------------------------------------------
Telephone | 312-848-3737
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------