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Organization
WIRTH COUNSELING SERVICES, P.C.
Active
Organization
WIRTH COUNSELING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ANN WIRTH LCPC (PRESIDENT)
(708) 925-7258
Entity
Organization
Contact information
Practice address
19250 EVERETT LN, SUITE #102, MOKENA, IL 60448-8942
(708) 925-7258
Mailing address
680 LENOX ST, NEW LENOX, IL 60451-4200
(815) 717-8575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932512902
INDIVIDUAL NPI
IL
Enumeration date
06/20/2014
Last updated
06/20/2014
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