Organization · NPI-2
247dct
Counselor, Mental Health · Wood Dale, IL
NPI number1669104832
StatusActive
Last updated in NPPESJun 27, 2022
Details
- NPI
- 1669104832
- Entity type
- Organization (NPI-2)
- Legal business name
- 247dct
- Organization subpart
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Jun 27, 2022
- Last updated
- Jun 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TE1100X | Psychologist, Exercise & Sports | – | – | |
| 103TF0000X | Psychologist, Family | – | – | |
| 103TF0200X | Psychologist, Forensic | – | – | |
| 103TH0004X | Psychologist, Health | – | – | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | |
| 103TP0814X | Psychologist, Psychoanalysis | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
343 N Wood Dale Rd Ste 201Wood Dale, IL 60191-1565
Phone 773-322-9581
Mailing address
343 N Wood Dale RdWood Dale, IL 60191-1578
Authorized official
Wajahatuddin Macci
Cfo
7738175928
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