institution
Wildlight Therapy
Professional Counselor in Chicago, Illinois
NPI 1396434734

Wildlight Therapy is a Professional Counselor based in Chicago, IL and is specialized in Professional. Wildlight Therapy practices in Chicago, IL. The NPI Number for Wildlight Therapy is 1396434734 and holds a License No. (Illinois).

The current practice location address for Wildlight Therapy is 5547 N Ravenswood Ave Ste 407, Chicago, IL and can be reached out via phone at 908-358-5802.

Location: 5547 N Ravenswood Ave Ste 407, Chicago, IL, 60613-1537
institution
Provider Profile Details
NPI Number
1396434734
Provider Name
Wildlight Therapy
Credential
Provider Entity Type
Organization
Address
5547 N Ravenswood Ave Ste 407, Chicago, IL, 60613-1537
Phone Number
908-358-5802
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5547 N Ravenswood Ave Ste 407
City
State
Zip
60640-1125
Phone Number
908-358-5802
Fax Number
person
Provider Business Mailing Address Details
Address
5547 N Ravenswood Ave Ste 407
City
State
Zip
60640-1125
Phone Number
908-358-5802
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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