Organization · Type 2 NPI

Magnolia Wellness Center

Clinical Psychologist · Lake Villa, IL

NPI number 1740986421 Active

Practice location

36936 N Corona Dr
Lake Villa, IL 60046-5800

Mailing address

2724 W Chicago Ave Apt 2F
Chicago, IL 60622-5169

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

About NPI 1740986421

Magnolia Wellness Center's National Provider Identifier is 1740986421, issued on Feb 3, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Villa, IL. The record was last updated on Feb 3, 2023.