Provider Demographics
NPI:1063147320
Name:WECHSLER, JULIE KIMBELL (LCPC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KIMBELL
Last Name:WECHSLER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 SHERIDAN RD UNIT 10E
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1851
Mailing Address - Country:US
Mailing Address - Phone:773-454-1944
Mailing Address - Fax:
Practice Address - Street 1:1616 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1875
Practice Address - Country:US
Practice Address - Phone:773-454-1944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180002046101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor