Individual
JENEAN POLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
20347 N MEADOW LN, DEER PARK, IL 60010-3617
(810) 877-5532
Mailing address
20347 N MEADOW LN, DEER PARK, IL 60010-3617
(810) 877-5532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007811
IL
Other
Enumeration date
04/10/2011
Last updated
03/26/2020
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