ETHAN HALLBERG

AURORA, IL
NPI1477170389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-06-26
Last Update Date2020-06-26
Business Address
ETHAN HALLBERG
1630 PLUM ST
AURORA, IL 60506-3462
Phone number: 630-966-4475
Mailing Address
ETHAN HALLBERG
1630 PLUM ST
AURORA, IL 60506-3462
Phone number: