Individual
EMILY AHRLING IMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
722 W COUNTY RD STE E, JERSEYVILLE, IL 62052-2598
(618) 706-1004
Mailing address
722 W COUNTY RD STE E, JERSEYVILLE, IL 62052-2598
(618) 706-1004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.025364
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871832709
KOEN COUNSELING
IL
Enumeration date
11/07/2022
Last updated
03/02/2023
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