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Individual

MS. JEANNE LYN MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
408 SOUTH FIFTH STREET, SPRINGFIELD, IL 62701
(217) 528-1988
(217) 528-1989
Mailing address
1124 S 5TH ST, SPRINGFIELD, IL 62703-2314
(217) 744-3525
(217) 744-3535

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10180-005021
IL
101YP2500X
Professional Counselor
Primary
180-005021
IL

Other

Enumeration date
10/29/2007
Last updated
04/04/2013
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