Individual
JENNIFER ANN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1330 KURTIS LN, LAKE FOREST, IL 60045-4305
(847) 615-1239
(847) 615-1890
Mailing address
1330 KURTIS LN, LAKE FOREST, IL 60045-4305
(847) 615-1239
(847) 615-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001961
IL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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