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Organization
NICOLE WAHLERT, PLLC
Active
Organization
NICOLE WAHLERT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WAHLERT LCPC, CADC (OWNER)
(847) 323-4092
Entity
Organization
Contact information
Practice address
1500 SEQUOIA TRL, GLENVIEW, IL 60025-2019
(847) 323-4092
Mailing address
1500 SEQUOIA TRL, GLENVIEW, IL 60025-2019
(847) 323-4092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19904
IL
101YP2500X
Professional Counselor
Primary
180005542
IL
Other
Enumeration date
08/30/2016
Last updated
05/27/2024
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