Jeanne Coulson
Jeanne Coulson is a Mental Health Counselor in Crystal Lake, Illinois. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 11
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
360 Memorial Dr Ste 160Crystal Lake, IL 60014-6203
Phone: (847) 754-7398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178011217 (IL) |
|---|
Record details
| NPI number | 1972959377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 4, 2016 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
| Mailing address | 638 Vine St, Hampshire, IL 60140-5620 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Crystal Lake
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