| Doctor Name: | JUDY LAND WISSEL |
| NPI Number: | 1023276060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180002807 |
| Business Practice Address: | 801 W 9th St Mount Carmel, IL - 628632446 |
| Business Phone Number: | 6182632707 |
| Business Fax Number: | |
| Mailing Address: | 801 West Ninth, MT. CARMEL |
| State: | IL |
| Postal Code: | 62863 |
| Phone Number: | 6182632707 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2008 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180002807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |