Individual
JASON POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 W HIGHLAND AVE, ELGIN, IL 60123-5056
(847) 695-8710
Mailing address
1735 W HIGHLAND AVE, ELGIN, IL 60123-5056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1800004392
IL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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