WANDA RAQUEL ORTIZ HERNANDEZ

URBANA, IL
NPI1104506393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.015451)
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
WANDA RAQUEL ORTIZ HERNANDEZ LCPC
2001 PHILO RD
URBANA, IL 61802-8007
Phone number: 217-552-1211
Mailing Address
WANDA RAQUEL ORTIZ HERNANDEZ LCPC
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066