| Wild Indigo Counseling, Llc | |
|
1363 S Wolf Rd Des Plaines IL 60018-1302 | |
| (224) 217-4854 | |
| Not Available |
| Full Name | Wild Indigo Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1363 S Wolf Rd, Des Plaines, Illinois |
| Authorized Official Name and Position | Nancy G. Hall (OWNER/MEMBER) |
| Authorized Official Contact | 2242174854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Indigo Counseling, Llc 1363 S Wolf Rd Des Plaines IL 60018-1302 Ph: (224) 217-4854 | Wild Indigo Counseling, Llc 1363 S Wolf Rd Des Plaines IL 60018-1302 Ph: (224) 217-4854 |
| NPI Number | 1114434305 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114434305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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