Individual
MRS. JACLYN WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
25224 W EAMES ST, CHANNAHON, IL 60410-5215
(815) 467-8181
Mailing address
25224 W EAMES ST, CHANNAHON, IL 60410-5215
(815) 922-9561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008582
IL
Other
Enumeration date
03/21/2013
Last updated
11/12/2015
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