Individual
JEANNE COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MEMORIAL DR STE 160, CRYSTAL LAKE, IL 60014-6203
(847) 754-7398
Mailing address
638 VINE ST, HAMPSHIRE, IL 60140-5620
(847) 754-7394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178011217
IL
Other
Enumeration date
05/04/2016
Last updated
09/27/2024
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