Individual
AILI WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2607 HODDAM RD, NAPERVILLE, IL 60564-5874
(630) 335-5187
Mailing address
2607 HODDAM RD, NAPERVILLE, IL 60564-5874
(630) 335-5187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004420
IL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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