Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JAELEN DETERS, LPC
Active Sole ProprietorMS. JAELEN DETERS, LPC is a Professional Counselor healthcare provider located in TEUTOPOLIS, Illinois. NPI 1588343347 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · TEUTOPOLIS, IL
Registration Details
- NPI Number
- 1588343347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2023 (3.0487435601287 yrs)
- Last Updated
- Jul 17, 2023
- License
-
178.018805 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19856 E STATE HIGHWAY 33TEUTOPOLIS, IL, 624674010Browse IL providers · Browse ZIP 62467
- Phone
- 2173431180
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.