Individual
MRS. JENEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
34121 N US HIGHWAY 45, SUITE 221, GRAYSLAKE, IL 60030-1768
(847) 752-4034
Mailing address
34121 N US HIGHWAY 45, SUITE 221, GRAYSLAKE, IL 60030-1768
(847) 752-4034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010280
IL
Other
Enumeration date
09/03/2014
Last updated
08/18/2020
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