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Jennifer Sue Derosia, LPN
Counselor in Carterville, Illinois
NPI 1689966350

Jennifer Sue Derosia is a Counselor based in West Frankfort, IL. Jennifer Sue Derosia practices in Carterville, IL and has the professional credentials of LPN. The NPI Number for Jennifer Sue Derosia is 1689966350 and holds a License No. 043077866 (Illinois).

The current practice location address for Jennifer Sue Derosia is 403 Municipal Dr, Carterville, IL and can be reached out via phone at 855-608-3560 and via fax at 618-956-9349.

Location: 403 Municipal Dr, Carterville, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689966350
Provider Name
Jennifer Sue Derosia
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
403 Municipal Dr, Carterville, IL, 62896-2210
Phone Number
855-608-3560
Fax Number
618-956-9349
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 Municipal Dr
City
Carterville
State
Illinois
Zip
62918-2042
Phone Number
855-608-3560
Fax Number
618-956-9349
person
Provider Business Mailing Address Details
Address
403 Municipal Dr
City
Carterville
State
Illinois
Zip
62918-2042
Phone Number
855-608-3560
Fax Number
618-956-9349
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043077866 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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