Individual
JINGLAM LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT, MS
Contact information
Practice address
6701 CLINTON RD, LOVES PARK, IL 61111-3863
(815) 282-6153
(815) 282-7160
Mailing address
6701 CLINTON RD, LOVES PARK, IL 61111-3863
(815) 282-6153
(815) 282-7160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000111
IL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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