Jeanette W Georgen, MA, LCPC, ATR
NPI #1124065602 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1124065602
- Entity Type
- Individual
- Name
- Jeanette W Georgen, MA, LCPC, ATR
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LCPC, ATR
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10314 LINCOLN TRL
- Address 2
- SUITE 101
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1801
- Phone
- (618) 394-8952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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