Individual
JACLYN MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1401 BRANDING AVE STE 345, DOWNERS GROVE, IL 60515-1185
(331) 254-4464
Mailing address
1401 BRANDING AVE STE 345, DOWNERS GROVE, IL 60515-1185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.022075
IL
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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