person
Susan R Wallace
Mental Health Counselor in Chicago, Illinois
NPI 1043958176

Susan R Wallace is a Mental Health Counselor based in Chicago Heights, IL and is specialized in Mental Health. Susan R Wallace practices in Chicago, IL. The NPI Number for Susan R Wallace is 1043958176 and holds a License No. (Illinois).

The current practice location address for Susan R Wallace is 2715 N Central Ave, Chicago, IL and can be reached out via phone at 773-360-1389.

Location: 2715 N Central Ave, Chicago, IL, 60411-2761
person
Provider Profile Details
NPI Number
1043958176
Provider Name
Susan R Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2715 N Central Ave, Chicago, IL, 60411-2761
Phone Number
773-360-1389
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2715 N Central Ave
City
State
Zip
60639-1351
Phone Number
773-360-1389
Fax Number
person
Provider Business Mailing Address Details
Address
2715 N Central Ave
City
State
Zip
60639-1351
Phone Number
773-360-1389
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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