Individual
JEANNE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3624 216TH ST, MATTESON, IL 60443-2713
(815) 274-4879
Mailing address
3624 216TH ST, MATTESON, IL 60443-2713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178014967
IL
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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