Organization
ELM CENTRE COUNSELING AND WELLNESS LLC
Active
Other names
Lydia R Wiede PhD
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA R WIEDE PHD, LCPC (OWNER)
(630) 247-5478
Entity
Organization
Contact information
Practice address
110 E SCHILLER ST, SUITE 232, ELMHURST, IL 60126-2858
(630) 247-5478
Mailing address
441 S ILLINOIS AVE, VILLA PARK, IL 60181-2959
(630) 247-5478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009004
IL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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