Individual
MRS. JOLEEN DEE HARTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1010 LAKE ST, 502B, OAK PARK, IL 60301
(708) 524-2655
(708) 535-7571
Mailing address
930 WILLOW LN, SLEEPY HOLLOW, IL 60118
(847) 428-4206
(708) 535-7571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673135
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/14/2006
Last updated
07/08/2007
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