Individual
MS. JACQUELYN LEBRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
110 NORTHWEST HWY, FOX RIVER GROVE, IL 60021-1017
(847) 370-4969
Mailing address
110 NORTHWEST HIGHWAY, FOX RIVER GROVE, IL 60021
(847) 370-4969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-007954
IL
Other
Enumeration date
12/13/2011
Last updated
06/18/2015
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