Individual
JENNEA AILEEN KLINGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1709 TRAILS DR, URBANA, IL 61802-7826
(773) 842-9520
Mailing address
1709 TRAILS DR, URBANA, IL 61802-7826
(773) 842-9520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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