| Wirth Counseling Services, P.c. | |
|
19250 Everett Ln Suite #102 Mokena IL 60448-8942 | |
| (708) 925-7258 | |
| Not Available |
| Full Name | Wirth Counseling Services, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 19250 Everett Ln, Mokena, Illinois |
| Authorized Official Name and Position | Denise Ann Wirth (PRESIDENT) |
| Authorized Official Contact | 7089257258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wirth Counseling Services, P.c. 680 Lenox St New Lenox IL 60451-4200 Ph: (815) 717-8575 | Wirth Counseling Services, P.c. 19250 Everett Ln Suite #102 Mokena IL 60448-8942 Ph: (708) 925-7258 |
| NPI Number | 1427462191 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 06/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427462191 | NPI | - | NPPES |
| 1932512902 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180009160 (Illinois) | Primary |
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