Organization
WILD INDIGO COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY G. HALL LCPC (OWNER/MEMBER)
(224) 217-4854
Entity
Organization
Contact information
Practice address
1363 S WOLF RD, DES PLAINES, IL 60018-1302
(224) 217-4854
Mailing address
1363 S WOLF RD, DES PLAINES, IL 60018-1302
(224) 217-4854
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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