Individual
MISS JILL SUZANNE KRELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
225 E DEERPATH, SUITE 280, LAKE FOREST, IL 60045-1952
(425) 999-5170
Mailing address
225 E DEERPATH, SUITE 280, LAKE FOREST, IL 60045-1952
(425) 999-5170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178008176
IL
101YP2500X
Professional Counselor
Primary
180009267
IL
Other
Enumeration date
08/20/2009
Last updated
08/16/2014
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