| Jennifer Galle Ma Lcpc Inc | |
|
15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 | |
| (708) 364-0580 | |
| (708) 364-0480 |
| Full Name | Jennifer Galle Ma Lcpc Inc |
|---|---|
| Speciality | Counselor |
| Location | 15010 S Ravinia Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Jennifer Lynn Galle (PRESIDENT) |
| Authorized Official Contact | 8152120082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Galle Ma Lcpc Inc 15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 Ph: (708) 364-0580 | Jennifer Galle Ma Lcpc Inc 15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 Ph: (708) 364-0580 |
| NPI Number | 1316219371 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316219371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180.007070 (Illinois) | Primary |
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