Organization Name: | R.J. WALSH AND ASSOCIATES |
NPI Number: | 1174840466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT WALSH (PRESIDENT) |
Mailing Address: | 822 Hillgrove Ave Western Springs |
State: | IL US |
Postal Code: | 605581464 |
Phone Number: | 7082464277 |
Fax Number: | 8664411136 |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180000283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |