MEDICARE: VERONICA AVEDICIAN MS, LCPC, NCC

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
1	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1952040958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA AVEDICIAN MS, LCPC, NCC

Provider Business Mailing Address
First Line	:	116 S NORTHWEST HWY
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-4608
Country	:	US
Telephone Number	:	503-476-1148
Fax Number	:	503-388-3671

Provider Business Practice Location Address
First Line	:	116 S NORTHWEST HWY
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-4608
Country	:	US
Telephone Number	:	503-476-1148
Fax Number	:	503-388-3671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	04/08/2026

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