ALEXIS MARIE WULF WAXMAN LCPC
NPI 1265024079
Counselor - Professional in Chicago, IL
Active since February 03, 2021
About Alexis Marie Wulf Waxman Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS MARIE WULF WAXMAN LCPC (NPI 1265024079) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.013275) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1265024079
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALEXIS MARIE WULF WAXMANCredential: LCPC
Location Address980 N MICHIGAN AVE STE 1437Chicago, IL 60611-4501
Mailing Address3630 N Harlem Ave Apt 415Chicago, IL 60634-3195 · (773) 430-9396
Phone(773) 430-9396
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1265024079 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.013275
980 N MICHIGAN AVE STE 1437, Chicago, IL 60611
Other Names 1
Other Name (5)Alexis Marie Waxman Lpc
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265024079, enumerated as an "individual" on February 03, 2021.
The provider is located at 980 N MICHIGAN AVE STE 1437 CHICAGO, IL 60611 and the phone number is (773) 430-9396.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
