Individual
MARY VICTORIA WESSELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52063
CO
103K00000X
Behavior Analyst
Primary
1-21-52063
IL
103K00000X
Behavior Analyst
152000227
IL
Other
Enumeration date
05/11/2018
Last updated
05/04/2026
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