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Organization
WELLSPRING THERAPY, PC
Active
Organization
WELLSPRING THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE ALLEN JONES LCPC, MA (PRESIDENT)
(773) 793-4095
Entity
Organization
Contact information
Practice address
1112 N ASHLAND AVE, #1R, CHICAGO, IL 60622-3935
(773) 793-4095
(773) 772-3528
Mailing address
1112 N ASHLAND AVE, #1R, CHICAGO, IL 60622-3935
(773) 793-4095
(773) 772-3528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007101
IL
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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