Individual
AMY JERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
527 W SOUTH ST, WOODSTOCK, IL 60098-3756
(815) 338-2910
Mailing address
527 W SOUTH ST, WOODSTOCK, IL 60098-3756
(815) 338-2910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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