Doctor Name: | RICHELLE WALLING |
NPI Number: | 1275952681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC, NCC |
License Number: | 37AC00190700 |
Business Practice Address: | 186 Princeton Hightstown Rd Suite 104, Bldg. 3b West Windsor, NJ - 085501668 |
Business Phone Number: | 7329822888 |
Business Fax Number: | 8478595885 |
Mailing Address: | 175 E Hawthorn Pkwy, Suite 235 VERNON HILLS |
State: | IL |
Postal Code: | 600611463 |
Phone Number: | 8478683435 |
Fax Number: | 8478595885 |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37AC00190700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |