Individual
JENNIFER ANNETTE HORTENSTINE-GROHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. C. P. C.
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE #208, DECATUR, IL 62521-3832
(217) 428-1900
(217) 428-0358
Mailing address
RR 1 BOX 18C, SULLIVAN, IL 61951-8712
(217) 728-8848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001685
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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