Individual
JACLYN M ANTONIOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7330 W COLLEGE DR STE 206, PALOS HEIGHTS, IL 60463-1157
(224) 424-3105
Mailing address
7330 W COLLEGE DR STE 206, PALOS HEIGHTS, IL 60463-1157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178017239
IL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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