Organization
PATH TO WELLNESS DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA RUIZ MA (CLINICAL COUNSELOR/PSYCHOTHERAPIST)
(847) 636-9836
Entity
Organization
Contact information
Practice address
701 PIPER LN, PROSPECT HEIGHTS, IL 60070-3613
(847) 636-9836
Mailing address
6232 N PULASKI RD, CHICAGO, IL 60646-5132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180009660
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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