Individual
JANE A LOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
415 E GOLF RD STE 115, ARLINGTON HEIGHTS, IL 60005
(847) 668-3432
(847) 281-7247
Mailing address
1128 GARFIELD AVE, LIBERTYVILLE, IL 60048-3612
(847) 668-3432
(847) 281-7247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007871
IL
Other
Enumeration date
06/28/2011
Last updated
07/02/2018
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