Individual provider · Type 1 NPI
Brian Charles Wennberg, B.A.
Mental Health Counselor · Champaign, IL
NPI number
1104989193
Active
Practice location
202 W. Park
Champaign, IL 61820-3928
Fax (217) 373-2444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1104989193
Brian Charles Wennberg, B.A.'s National Provider Identifier is 1104989193, issued on Dec 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.