Individual
JEFFREY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 FAIRLANE DR, JOLIET, IL 60435-6483
(312) 566-7477
Mailing address
1009 KELLY AVE, JOLIET, IL 60435-4542
(763) 267-9939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016112
IL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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