Jennifer Wildhaber, ATR LCPC

NPI #1194013771 in Troy, Illinois

Provider Information

NPI Number: 1194013771
Entity Type: Individual
Name: Jennifer Wildhaber, ATR LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: ATR LCPC
Enumeration Date: Jul 15, 2011
Last Updated: Aug 27, 2014

Practice Location

Address: 189 E US HIGHWAY 40 STE D
City: Troy
State: Illinois
ZIP Code: 62294-2267
Phone: (618) 979-2336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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