Individual provider · Type 1 NPI

Fredrick Wackenhut

Professional Counselor · Glenview, IL

NPI number 1346841103 Active

Practice location

2400 Ravine Way Ste 600
Glenview, IL 60025-7615

Call (847) 730-3042 Map

Mailing address

2431 Rockport Rd
Hampshire, IL 60140-9065

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.016446 (IL)

Professional Counselor: Definition to come...

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About NPI 1346841103

Fredrick Wackenhut's National Provider Identifier is 1346841103, issued on Nov 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glenview, IL. The record was last updated on Nov 6, 2020.