Individual
DR. JIE JIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5901 N PROSPECT RD STE 202, PEORIA, IL 61614-4358
(888) 428-7890
(877) 428-7890
Mailing address
5901 N PROSPECT RD STE 202, PEORIA, IL 61614-4358
(888) 428-7890
(877) 428-7891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008880
IL
Other
Enumeration date
08/13/2014
Last updated
07/27/2023
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