person
Jessica Smith
Professional Counselor in Minooka, Illinois
NPI 1083326854

Jessica Smith is a Professional Counselor based in Minooka, IL and is specialized in Professional. Jessica Smith practices in Minooka, IL. The NPI Number for Jessica Smith is 1083326854 and holds a License No. (Illinois).

The current practice location address for Jessica Smith is Evolve Therapeutic Services Center, Minooka, IL and can be reached out via phone at 815-274-7308.

Location: Evolve Therapeutic Services Center, Minooka, IL, 60447-9554
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Provider Profile Details
NPI Number
1083326854
Provider Name
Jessica Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
Evolve Therapeutic Services Center, Minooka, IL, 60447-9554
Phone Number
815-274-7308
Fax Number
Provider Enumeration Date
12/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003 01 BCBC
institution
Provider Business Practice Location Address Details
Address
Evolve Therapeutic Services Center
City
State
Zip
60447
Phone Number
815-274-7308
Fax Number
person
Provider Business Mailing Address Details
Address
Evolve Therapeutic Services Center
City
State
Zip
60447
Phone Number
815-274-7308
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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