Individual
JANE H FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC, LCPC
Contact information
Practice address
1669 WINDHAM WAY STE B, O FALLON, IL 62269-3072
(618) 622-2579
(618) 624-8506
Mailing address
1669 WINDHAM WAY STE B, O FALLON, IL 62269-3072
(618) 622-2579
(618) 624-8506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007978
IL
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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