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Individual
MR. JESSE M PEREZ
Active
Individual
MR. JESSE M PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180013206
IL
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180013206
STATE OF ILLINOIS DEPARTMENT OF FINACIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/01/2016
Last updated
10/27/2020
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