Individual
MR. BRIAN CHARLES WENNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
202 W. PARK, CHAMPAIGN, IL 61820-3928
(217) 373-2430
(217) 373-2444
Mailing address
202 W. PARK, CHAMPAIGN, IL 61820-3928
(217) 373-2430
(217) 373-2444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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