Individual
CHRISTINE EVE WALAWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, NCC, LCPC
Contact information
Practice address
682 W BOUGHTON RD, UNIT D, BOLINGBROOK, IL 60440-5700
(630) 771-0144
(630) 771-9520
Mailing address
682 W BOUGHTON RD, UNIT D, BOLINGBROOK, IL 60440-5700
(630) 771-0144
(630) 771-9520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932036
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/07/2006
Last updated
07/08/2007
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