Individual
MS. JANIS IRIS RICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
610 W ROOSEVELT RD # D, WHEATON, IL 60187-5087
(630) 881-7466
Mailing address
PO BOX 346, GLEN ELLYN, IL 60138-0346
(630) 545-5132
(630) 539-1094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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