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Individual

RICHELLE WALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, NCC

Contact information

Practice address
186 PRINCETON HIGHTSTOWN RD, SUITE 104, BLDG. 3B, WEST WINDSOR, NJ 08550-1668
(732) 982-2888
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
(847) 859-5885

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00190700
NJ

Other

Enumeration date
04/14/2014
Last updated
04/14/2014
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