Ride the Wave Wellness, Inc.

NPI #1356863617 in Oswego, Illinois

Provider Information

NPI Number: 1356863617
Entity Type: Organization
Organization Name: Ride the Wave Wellness, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 8, 2017
Last Updated: Jul 8, 2017

Practice Location

Address: 123 W WASHINGTON ST STE 340
City: Oswego
State: Illinois
ZIP Code: 60543-8292
Phone: (630) 383-7006

Authorized Official

Name: NICOLE K KNEPPER, LCPC
Title: OWNER/CLINICAL PSYCHOTHERAPIST
Phone: (630) 383-7006

Specialties & Taxonomy Codes

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

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