Jesse Waltz's National Provider Identifier (NPI) Details
Jesse Waltz, MAEd, LMFT
NPI: 1619313988
Enumeration Date: 2013-05-14
Last updated: 2024-08-27
Sole Proprietor: NO
Status: active
Postal Address: 8658 S SACRAMENTO AVE, CHICAGO, IL
Phone: 773-962-3740
Primary Practice Address: PO BOX 204, PLAINFIELD, IL
Practice's phone: 270-312-7752