Provider Demographics
NPI:1053427484
Name:OSKVAREK, VIVIENNE A (MA LCPC CADC MISA II)
Entity type:Individual
Prefix:MRS
First Name:VIVIENNE
Middle Name:A
Last Name:OSKVAREK
Suffix:
Gender:F
Credentials:MA LCPC CADC MISA II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9940 LA REINA CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3138
Mailing Address - Country:US
Mailing Address - Phone:708-357-7224
Mailing Address - Fax:
Practice Address - Street 1:9940 LA REINA CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3138
Practice Address - Country:US
Practice Address - Phone:708-357-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional