IndividualActive
Jennifer Wildhaber, ATR LCPC
NPI 1194013771 · Professional Counselor · Troy, IL
Provider details
- NPI number
- 1194013771
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- ATR LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178007168 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
189 E US Highway 40 Ste D
Troy, IL 62294-2267
Phone: (618) 979-2336
Fax: (618) 505-5044
Approximate (ZIP-level) locationGet directions
Mailing address
189 E US Highway 40 Ste D
Troy, IL 62294-2267
Registry dates
- Enumerated
- 2011-07-15
- Last updated
- 2014-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.