Organization
NEURONOODLE NEUROFEEDBACK AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PETE JANSONS (OWNER)
(847) 922-4776
Entity
Organization
Contact information
Practice address
175 E HAWTHORNE PKWY STE 220, VERNON HILLS, IL 60061-1432
(847) 386-1550
Mailing address
306 GRANBY RD, LAKE FOREST, IL 60045-1466
(847) 922-4776
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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