institution
Ride The Wave Wellness, Inc.
Mental Health Counselor in Oswego, Illinois
NPI 1356863617

Ride The Wave Wellness, Inc. is a Mental Health Counselor based in Plainfield, IL and is specialized in Mental Health. Ride The Wave Wellness, Inc. practices in Oswego, IL. The NPI Number for Ride The Wave Wellness, Inc. is 1356863617 and holds a License No. 180.0004778 (Illinois).

The current practice location address for Ride The Wave Wellness, Inc. is 123 W Washington St Ste 340, Oswego, IL and can be reached out via phone at 630-383-7006 and via fax at 630-383-7006.

Location: 123 W Washington St Ste 340, Oswego, IL, 60586-6397
institution
Provider Profile Details
NPI Number
1356863617
Provider Name
Ride The Wave Wellness, Inc.
Credential
Provider Entity Type
Organization
Address
123 W Washington St Ste 340, Oswego, IL, 60586-6397
Phone Number
630-383-7006
Fax Number
630-383-7006
Provider Enumeration Date
07/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194092635 01 IL NPI 1
institution
Provider Business Practice Location Address Details
Address
123 W Washington St Ste 340
City
State
Zip
60543-8292
Phone Number
630-383-7006
Fax Number
630-383-7006
person
Provider Business Mailing Address Details
Address
123 W Washington St Ste 340
City
State
Zip
60543-8292
Phone Number
630-383-7006
Fax Number
630-383-7006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.0004778 (Illinois)
Definition
Definition to come...
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