Individual provider · Type 1 NPI

Kyle Uphoff Wasowski, MA

Mental Health Counselor · Lombard, IL

NPI number 1194099796 Active

Practice location

1111 E Jackson St
Lombard, IL 60148-3709

Call (630) 682-7400 Map

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194099796

Kyle Uphoff Wasowski, MA's National Provider Identifier is 1194099796, issued on Feb 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lombard, IL. The record was last updated on Feb 28, 2012.