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Organization
MINDFULLY EMBODIED WELLNESS, PLLC
Active
Organization
MINDFULLY EMBODIED WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH WEISSERT MA, LCPC, R-DMT (MANAGER)
(847) 609-9008
Entity
Organization
Contact information
Practice address
2683 STEWART AVE, EVANSTON, IL 60201-1489
(847) 609-9008
Mailing address
2683 STEWART AVE, EVANSTON, IL 60201-1489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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