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Organization
TALKSPACE
Active
Organization
TALKSPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FLETCHER LCSW, CADC, PEL (NETWORK CLINICIAN)
(815) 955-4012
Entity
Organization
Contact information
Practice address
11625 S DECATHALON LN, PLAINFIELD, IL 60585-6144
(815) 955-4012
Mailing address
11625 S DECATHALON LN, PLAINFIELD, IL 60585-6144
(815) 955-4012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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