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NPI Code Detail

MEDICARE: VANESSA MARIE OVALLE LPC

MEDICARE: VANESSA MARIE OVALLE 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
1101YM0800XMental Health Counselor178021558IL

General Provider Information

NPI Number : 1609663327
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA MARIE OVALLE LPC
Provider Business Mailing Address
First Line : 3843 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4623
Country : US
Telephone Number : 312-404-7431
Fax Number :
Provider Business Practice Location Address
First Line : 3843 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4623
Country : US
Telephone Number : 773-395-0658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 04/14/2026

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Directions to “ VANESSA MARIE OVALLE LPC” Practice Location

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