Individual
JENILEE BROCAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
515 N COLLEGE ST, LINCOLN, IL 62656-1401
(217) 525-1064
(217) 525-1651
Mailing address
515 N COLLEGE ST, LINCOLN, IL 62656-1401
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.015224
IL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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