Organization
WALL COUNSELING AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WALL LCPC (FOUNDER)
(773) 551-7204
Entity
Organization
Contact information
Practice address
688 N MILWAUKEE AVE STE 302, CHICAGO, IL 60642-5912
(773) 551-7204
Mailing address
688 N MILWAUKEE AVE STE 302, CHICAGO, IL 60642-5912
(773) 551-7204
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180008228
IL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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