Individual provider · Type 1 NPI

Edith Wirtz

Mental Health Counselor · St. Charles, IL

NPI number 1023488640 Active

Practice location

111 E Main St
St. Charles, IL 60174-1948

Mailing address

113 Pheasant Trl
Lake In The Hills, IL 60156-1240

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178008236 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1023488640

Edith Wirtz's National Provider Identifier is 1023488640, issued on Sep 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Charles, IL. The record was last updated on Sep 26, 2015.