Jenny Roark

NPI #1932484771 in Lawrenceville, Illinois

Provider Information

NPI Number: 1932484771
Entity Type: Individual
Name: Jenny Roark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: RR 1 BOX 277
City: Lawrenceville
State: Illinois
ZIP Code: 62439-9784
Phone: (618) 943-3754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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