Organization
JANELLE BAGLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE BAGLEY (PROVIDER)
(219) 484-3233
Entity
Organization
Contact information
Practice address
1180 N COVENT ST, BOURBONNAIS, IL 60914
(219) 484-3233
Mailing address
460 E BETHEL DR, BOURBONNAIS, IL 60914-1134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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