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Jenny Roark
Mental Health Counselor in Lawrenceville, Illinois
NPI 1932484771

Jenny Roark is a Mental Health Counselor based in Lawrenceville, IL and is specialized in Mental Health. Jenny Roark practices in Lawrenceville, IL. The NPI Number for Jenny Roark is 1932484771 and holds a License No. (Illinois).

The current practice location address for Jenny Roark is Rr 1 Box 277, Lawrenceville, IL and can be reached out via phone at 618-943-3754 and via fax at 618-943-3657.

Location: Rr 1 Box 277, Lawrenceville, IL, 62439-0516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932484771
Provider Name
Jenny Roark
Credential
Provider Entity Type
Individual
Gender
Female
Address
Rr 1 Box 277, Lawrenceville, IL, 62439-0516
Phone Number
618-943-3754
Fax Number
618-943-3657
Provider Enumeration Date
10/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376006178008 05 IL
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 277
City
Lawrenceville
State
Illinois
Zip
62439-9784
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider Business Mailing Address Details
Address
Rr 1 Box 277
City
Lawrenceville
State
Illinois
Zip
62439-9784
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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