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Alicia Wade
Mental Health Counselor in Lake Villa, Illinois
NPI 1750897997

Alicia Wade is a Mental Health Counselor based in Lake Villa, IL and is specialized in Mental Health. Alicia Wade practices in Lake Villa, IL. The NPI Number for Alicia Wade is 1750897997 and holds a License No. 149019700 (Illinois).

The current practice location address for Alicia Wade is 420 W Grand Ave, Lake Villa, IL and can be reached out via phone at 847-356-3322.

Location: 420 W Grand Ave, Lake Villa, IL, 60046-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750897997
Provider Name
Alicia Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 W Grand Ave, Lake Villa, IL, 60046-1088
Phone Number
847-356-3322
Fax Number
Provider Enumeration Date
12/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 W Grand Ave
City
Lake Villa
State
Illinois
Zip
60031
Phone Number
847-356-3322
Fax Number
person
Provider Business Mailing Address Details
Address
420 W Grand Ave
City
Lake Villa
State
Illinois
Zip
60031
Phone Number
847-356-3322
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
149019700 (Illinois)
Definition
Definition to come...
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