Organization · Type 2 NPI
Ride the Wave Wellness, Inc.
Mental Health Counselor · Oswego, IL
NPI number
1356863617
Active
Practice location
123 W Washington St Ste 340
Oswego, IL 60543-8292
Fax (630) 383-7006
Mailing address
2405 Twin Fountain Ct
Plainfield, IL 60586-6397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.0004778 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1356863617
Ride the Wave Wellness, Inc.'s National Provider Identifier is 1356863617, issued on Jul 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oswego, IL. The record was last updated on Jul 8, 2017.