J.wall Counseling Services | |
1609 Sherman Ave Ste 318 Evanston IL 60201-3753 | |
(847) 471-0138 | |
Not Available |
Full Name | J.wall Counseling Services |
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Speciality | Social Worker - Clinical |
Location | 1609 Sherman Ave Ste 318, Evanston, Illinois |
Authorized Official Name and Position | Julia Wall (OWNER) |
Authorized Official Contact | 8474710138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J.wall Counseling Services 1609 Sherman Ave Ste 318 Evanston IL 60201-3753 Ph: (847) 471-0138 | J.wall Counseling Services 1609 Sherman Ave Ste 318 Evanston IL 60201-3753 Ph: (847) 471-0138 |
NPI Number | 1275049389 |
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Provider Enumeration Date | 12/27/2017 |
Last Update Date | 04/09/2018 |
Identifier | Type | State | Issuer |
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1275049389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 149.014377 (Illinois) | Primary |
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