Jeanne Lyn Malone LCPC

NPI 1396924148 - Counselor - 101YP2500X

NPI Details
NPI 1396924148
Gender Female
Enumeration Date 10/29/2007
Last Updated 04/04/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
408 SOUTH FIFTH STREET
SPRINGFIELD IL, 62701, US
Phone (217) 528-1988
Fax (217) 528-1989
Business Location
1124 S 5TH ST
SPRINGFIELD IL, 62703-2314, US
Phone (217) 744-3525
Fax (217) 744-3535
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 10180-005021
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According to our database, Ms. Jeanne Lyn Malone LCPC NPI is 1396924148, taxonomy code is 101YP2500X and license number is 10180-005021, license state is located at Illinois. Jeanne Lyn Malone LCPC physically located at 408 South Fifth Street, Springfield IL, 62701. NPI Number Jeanne Lyn Malone LCPC has the Individual type.

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1396924148 NPI number is provided on an as is basis without warranty of any kind. 1396924148 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanne Lyn Malone LCPC are for informational purposes only.