Individual
DR. JESSICA MIKULECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11800 S 75TH AVE, THIRD FLOOR, PALOS HEIGHTS, IL 60463-1033
(708) 671-8440
(708) 671-8446
Mailing address
11800 S 75TH AVE, THIRD FLOOR, PALOS HEIGHTS, IL 60463-1033
(708) 671-8440
(708) 671-8446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009650
IL
103TC0700X
Clinical Psychologist
Primary
071009204
IL
Other
Enumeration date
12/27/2013
Last updated
12/10/2015
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