Individual
DANI L JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
401 W BRIDGE ST, STREATOR, IL 61364-2705
(815) 220-0299
(815) 220-0583
Mailing address
401 W BRIDGE ST, STREATOR, IL 61364-2705
(815) 220-0299
(815) 220-0583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32588
IL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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