Individual
MICHELLE ROBIN WICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 WOODHAVEN CT., MUNDELEIN, IL 60060
(847) 668-9584
Mailing address
1606 WOODHAVEN CT, MUNDELEIN, IL 60060-1539
(847) 668-9584
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34386
IL
101YM0800X
Mental Health Counselor
178.012465
IL
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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