Organization · Type 2 NPI
Wildlight Therapy
Professional Counselor · Chicago, IL
NPI number
1396434734
Active
Practice location
5547 N Ravenswood Ave Ste 407
Chicago, IL 60640-1125
Mailing address
4240 N Clarendon Ave Apt 403N
Chicago, IL 60613-1537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1396434734
Wildlight Therapy's National Provider Identifier is 1396434734, issued on May 2, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 2, 2023.