Individual
JILL CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
111 S GRANT ST, HINSDALE, IL 60521-4050
(630) 240-0823
Mailing address
111 S GRANT ST, HINSDALE, IL 60521-4050
(630) 240-0823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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