Individual
MS. JAELEN DETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19856 E STATE HIGHWAY 33, TEUTOPOLIS, IL 62467-4010
(217) 343-1180
Mailing address
19856 E STATE HIGHWAY 33, TEUTOPOLIS, IL 62467-4010
(217) 343-1180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018805
IL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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