Individual
ALEXIS MARIE WULF WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
980 N MICHIGAN AVE STE 1437, CHICAGO, IL 60611-4501
(773) 430-9396
Mailing address
3630 N HARLEM AVE APT 415, CHICAGO, IL 60634-3195
(773) 430-9396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013275
IL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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