Individual provider · Type 1 NPI
Ant Walach
Mental Health Counselor · Rockford, IL
NPI number
1962388629
Active
Practice location
6072 Brynwood Dr Ste 205
Rockford, IL 61114-5829
Mailing address
11128 Hamborg Rd
Roscoe, IL 61073-9111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1962388629
Ant Walach's National Provider Identifier is 1962388629, issued on Aug 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, IL. The record was last updated on Aug 15, 2025.