Individual provider · Type 1 NPI

Chace Thomas Gabrielson Wall

Counselor · Chicago, IL

NPI number 1275228280 Active

Practice location

8 S Michigan Ave Fl 7
Chicago, IL 60603-3357

Mailing address

2215 S Albany Ave # 2F
Chicago, IL 60623-3483

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.020258 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1275228280

Chace Thomas Gabrielson Wall's National Provider Identifier is 1275228280, issued on Apr 6, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 1, 2024.