Organization
NEW MOON COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE L WOLK-PHILLIPS PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(847) 612-9477
Entity
Organization
Contact information
Practice address
1740 N MAPLEWOOD AVE APT 211, CHICAGO, IL 60647-5281
(847) 612-9477
Mailing address
1740 N MAPLEWOOD AVE APT 211, CHICAGO, IL 60647-5281
(847) 612-9477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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