Individual
JEFF FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4553 ROLLING HILLS DR, LAKE IN THE HILLS, IL 60156-5523
(217) 391-4173
Mailing address
4553 ROLLING HILLS DR, LAKE IN THE HILLS, IL 60156-5523
(217) 391-4173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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