MS. JOHANNA ANTOINETTE BUWALDA M.ED. M.A. NPI 1881897627

NPI Information

NPI: 1881897627
Provider Name: MS. JOHANNA ANTOINETTE BUWALDA, M.ED., M.A.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3020 N KIMBALL AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 370-4789
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MS. Johanna Antoinette Buwalda, M.ED., M.A. is a professional counselor in Chicago, IL. MS. Johanna Antoinette Buwalda, M.ED., M.A. NPI is 1881897627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3020 N KIMBALL AVE
CHICAGO, IL
ZIP 60618-812
Phone: (773) 370-4789

The enumeration date for this NPI number is 6/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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