person
Benjamin Waughtal, LPC
Professional Counselor in Fox River Grove, Illinois
NPI 1528470507

Benjamin Waughtal is a Professional Counselor based in Vernon Hills, IL and is specialized in Professional. Benjamin Waughtal practices in Fox River Grove, IL and has the professional credentials of LPC. The NPI Number for Benjamin Waughtal is 1528470507 and holds a License No. 178009075 (Illinois).

The current practice location address for Benjamin Waughtal is 930 Il Route 22, Fox River Grove, IL and can be reached out via phone at 847-868-3435.

Location: 930 Il Route 22, Fox River Grove, IL, 60061-1463
person
Provider Profile Details
NPI Number
1528470507
Provider Name
Benjamin Waughtal
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
930 Il Route 22, Fox River Grove, IL, 60061-1463
Phone Number
847-868-3435
Fax Number
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
930 Il Route 22
City
State
Zip
60021-1905
Phone Number
847-868-3435
Fax Number
person
Provider Business Mailing Address Details
Address
930 Il Route 22
City
State
Zip
60021-1905
Phone Number
847-868-3435
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178009075 (Illinois)
Definition
Definition to come...
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