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Jakob Dylan Little I
Mental Health Counselor in Wheaton, Illinois
NPI 1639894769

Jakob Dylan Little I is a Mental Health Counselor based in Wheaton, IL and is specialized in Mental Health. Jakob Dylan Little I practices in Wheaton, IL. The NPI Number for Jakob Dylan Little I is 1639894769 and holds a License No. (Illinois).

The current practice location address for Jakob Dylan Little I is 111 N County Farm Rd, Wheaton, IL and can be reached out via phone at 805-722-6130.

Location: 111 N County Farm Rd, Wheaton, IL, 60187-3977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639894769
Provider Name
Jakob Dylan Little I
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 N County Farm Rd, Wheaton, IL, 60187-3977
Phone Number
805-722-6130
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 N County Farm Rd
City
Wheaton
State
Illinois
Zip
60187-3977
Phone Number
805-722-6130
Fax Number
person
Provider Business Mailing Address Details
Address
111 N County Farm Rd
City
Wheaton
State
Illinois
Zip
60187-3977
Phone Number
805-722-6130
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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