Individual
JENNIFER WILDHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR LCPC
Contact information
Practice address
189 E US HIGHWAY 40 STE D, TROY, IL 62294-2267
(618) 979-2336
(618) 505-5044
Mailing address
189 E US HIGHWAY 40 STE D, TROY, IL 62294-2267
(618) 979-2336
(618) 505-5044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178007168
IL
101YP2500X
Professional Counselor
Primary
180007942
IL
Other
Enumeration date
07/15/2011
Last updated
08/27/2014
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