Individual
JOHN WANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
410 S MICHIGAN AVE, SUITE 525, STUDIO 524, CHICAGO, IL 60605-1308
(773) 492-1476
Mailing address
410 S MICHIGAN AVE, SUITE 525, STUDIO 524, CHICAGO, IL 60605-1308
(773) 492-1476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008461
IL
Other
Enumeration date
12/09/2012
Last updated
12/11/2013
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