Provider Demographics
NPI:1447916937
Name:MEEKS, JANEA CORAE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:JANEA
Middle Name:CORAE
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 1:21129 SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-2521
Mailing Address - Country:US
Mailing Address - Phone:630-303-2321
Mailing Address - Fax:
Practice Address - Street 1:3420 LACROSSE LN
Practice Address - Street 2:STE 108
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8279
Practice Address - Country:US
Practice Address - Phone:630-296-6709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015869101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional