MEDICARE: MRS. JANEA CORAE MEEKS LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180.015869	IL

General Provider Information

NPI Number	:	1447916937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANEA CORAE MEEKS LCPC

Provider Business Mailing Address
First Line	:	21129 SOMERSET ST
Second Line	:
City	:	SHOREWOOD
State	:	IL
Zip	:	60404-2521
Country	:	US
Telephone Number	:	630-303-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 LACROSSE LN
Second Line	:	STE 108
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8279
Country	:	US
Telephone Number	:	630-296-6709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	10/17/2024

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