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Individual

JENNIFER MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1511 WESTMINSTER DR, NAPERVILLE, IL 60563-9216
(331) 472-4568
Mailing address
1511 WESTMINSTER DR, UNIT 102, NAPERVILLE, IL 60563-9216
(331) 472-4568

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
180013025
101YM0800X
Mental Health Counselor
M65043384798
IL

Other

Enumeration date
12/23/2009
Last updated
07/26/2021
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