# WHEATON COUSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831428473
- **Authorized official:** MR. RAYMOND J. REDELMAN M.A. (OWNER)
- **Authorized official phone:** (630) 665-4141

## Contact information

- **Practice address:** 200 E WILLOW AVE, SUITE 101, WHEATON, IL 60187-5463
- **Practice address phone:** (630) 665-4141
- **Mailing address:** 200 E WILLOW AVE, SUITE 101, WHEATON, IL 60187-5463
- **Mailing address phone:** (630) 665-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009