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Bailey Wiseman, LPC
Counselor in Bourbonnais, Illinois
NPI 1205306321

Bailey Wiseman is a Counselor based in Bourbonnais, IL. Bailey Wiseman practices in Bourbonnais, IL and has the professional credentials of LPC. The NPI Number for Bailey Wiseman is 1205306321 and holds a License No. 178.013901 (Illinois).

The current practice location address for Bailey Wiseman is 201 Park Pl Ste 11, Bourbonnais, IL and can be reached out via phone at 614-806-0495.

Location: 201 Park Pl Ste 11, Bourbonnais, IL, 60914-1883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205306321
Provider Name
Bailey Wiseman
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
201 Park Pl Ste 11, Bourbonnais, IL, 60914-1883
Phone Number
614-806-0495
Fax Number
Provider Enumeration Date
12/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-4957995 01 IL TAX ID
institution
Provider Business Practice Location Address Details
Address
201 Park Pl Ste 11
City
Bourbonnais
State
Illinois
Zip
60914-1883
Phone Number
614-806-0495
Fax Number
person
Provider Business Mailing Address Details
Address
201 Park Pl Ste 11
City
Bourbonnais
State
Illinois
Zip
60914-1883
Phone Number
614-806-0495
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178.013901 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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