Provider Demographics
NPI:1487006797
Name:MEEKS, JANET JEAN (LCPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:JEAN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 STONEHILL CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9200
Mailing Address - Country:US
Mailing Address - Phone:630-779-3701
Mailing Address - Fax:
Practice Address - Street 1:76 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-5023
Practice Address - Country:US
Practice Address - Phone:630-466-8657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional