Individual
MR. JAHLEEL AMIR ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 FOUNTAINS PKWY # 201, FAIRVIEW HEIGHTS, IL 62208-2170
(618) 515-1441
Mailing address
343 FOUNTAINS PKWY # 201, FAIRVIEW HEIGHTS, IL 62208-2170
(618) 515-1441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
02/26/2026
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