Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003146572 |
---|---|
Provider Name | Ms. Meghan Marie Garland |
First Address | Orland Park, IL 60467-9490 |
Second Address | Orland Park, IL 60467-9490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2010 |
Last Update Date | 08/03/2012 |