| Nicole Wahlert, Llc | |
|
1500 Sequoia Trl Glenview IL 60025-2019 | |
| (847) 323-4092 | |
| Not Available |
| Full Name | Nicole Wahlert, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1500 Sequoia Trl, Glenview, Illinois |
| Authorized Official Name and Position | Nicole Wahlert (OWNER) |
| Authorized Official Contact | 8473234092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Wahlert, Llc 1500 Sequoia Trl Glenview IL 60025-2019 Ph: (847) 323-4092 | Nicole Wahlert, Llc 1500 Sequoia Trl Glenview IL 60025-2019 Ph: (847) 323-4092 |
| NPI Number | 1336695337 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336695337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19904 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180005542 (Illinois) | Primary |
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