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Individual
NICHOLE JETERS
Active
Individual
NICHOLE JETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.009521
IL
101YM0800X
Mental Health Counselor
Primary
180009521
IL
101YP2500X
Professional Counselor
180009521
IL
Other
Enumeration date
08/26/2008
Last updated
03/06/2026
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