Individual provider · Type 1 NPI

Gerald Clyde Wadleigh

Mental Health Counselor · Aurora, IL

NPI number 1124724257 Active

Practice location

1230 Pearl St
Aurora, IL 60505-4519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124724257

Gerald Clyde Wadleigh's National Provider Identifier is 1124724257, issued on Jan 31, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aurora, IL. The record was last updated on Jan 31, 2023.