Mr. Fredrick Wackenhut
Mr. Fredrick Wackenhut is a Professional Counselor in Glenview, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
2400 Ravine Way Ste 600Glenview, IL 60025-7615
Phone: (847) 730-3042
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.016446 (IL) |
|---|
Record details
| NPI number | 1346841103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | November 6, 2020 |
| Certification date | November 6, 2020 |
| Mailing address | 2431 Rockport Rd, Hampshire, IL 60140-9065 |
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