Mary Alice Wentling, LCPC

NPI #1174779953 in Dixon, Illinois

Provider Information

NPI Number: 1174779953
Entity Type: Individual
Name: Mary Alice Wentling, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Aug 13, 2008
Last Updated: Aug 13, 2008

Practice Location

Address: 501 WOODLAND DR
City: Dixon
State: Illinois
ZIP Code: 61021-8937
Phone: (815) 973-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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