Individual
MR. JOEL MARC CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1263 S HIGHLAND AVE, 2D, LOMBARD, IL 60148-4516
(630) 290-7762
Mailing address
6006 E LAKE DR, #3D, LISLE, IL 60532-3049
(630) 561-1177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178007529
IL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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