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Individual

JENNY LANGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC

Contact information

Practice address
6201 W MAIN ST STE 120, MARYVILLE, IL 62062-6870
(618) 977-6252
Mailing address
1277 KEY WEST DR, EDWARDSVILLE, IL 62025-5107
(217) 652-9359

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.015044
IL
101YP2500X
Professional Counselor
Primary
180.017809
IL

Other

Enumeration date
04/29/2024
Last updated
01/21/2026
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