Individual
JACQUELINE CLARE VERMAAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCPC
Contact information
Practice address
1100 BEECH ST, NORMAL, IL 61761-1493
(309) 247-1738
Mailing address
1100 BEECH ST STE 12A, NORMAL, IL 61761-1499
(309) 247-1738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.014449
IL
Other
Enumeration date
01/24/2019
Last updated
09/23/2021
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