Individual provider · Type 1 NPI
Jacob Kenneth Lagreca
Mental Health Counselor · Lake In The Hills, IL
NPI number
1295597433
Active
Practice location
2670 Fairfax Ln
Lake In The Hills, IL 60156-6319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | L26243101090 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1295597433
Jacob Kenneth Lagreca's National Provider Identifier is 1295597433, issued on Jan 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake In The Hills, IL. The record was last updated on Jan 24, 2024.