Organization
MAGNOLIA WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA COLON PSYD (OWNER)
(773) 294-7885
Entity
Organization
Contact information
Practice address
36936 N CORONA DR, LAKE VILLA, IL 60046-5800
(773) 294-7885
Mailing address
2724 W CHICAGO AVE APT 2F, CHICAGO, IL 60622-5169
(773) 294-7885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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