Individual provider · Type 1 NPI
Mary Alice Wentling, LCPC
Mental Health Counselor · Dixon, IL
NPI number
1174779953
Active
Practice location
501 Woodland Dr
Dixon, IL 61021-8937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180005096 (IL) |
Mental Health Counselor: Definition to come...
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- Abigail PhelpsMental Health Counselor Dixon, IL NPI 1033785464
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About NPI 1174779953
Mary Alice Wentling, LCPC's National Provider Identifier is 1174779953, issued on Aug 13, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Aug 13, 2008.