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Jessica Revord
Professional Counselor in Waukegan, Illinois
NPI 1760889810

Jessica Revord is a Professional Counselor based in Waukegan, IL and is specialized in Professional. Jessica Revord practices in Waukegan, IL. The NPI Number for Jessica Revord is 1760889810 and holds a License No. 338784 (Illinois).

The current practice location address for Jessica Revord is 3010 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8296.

Location: 3010 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760889810
Provider Name
Jessica Revord
Credential
Provider Entity Type
Individual
Gender
Female
Address
3010 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8296
Fax Number
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8296
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8296
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178.010397 (Illinois)
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
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
338784 (Illinois)
Definition
Definition to come...
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