Organization
WISE COUNSEL FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA DENNIS PSYD (CLINICAL THERAPIST/LCPC)
(630) 882-5433
Entity
Organization
Contact information
Practice address
440 W BOUGHTON RD, BOLINGBROOK, IL 60440-1892
(630) 882-5433
Mailing address
1977 CONWAY LN, AURORA, IL 60503-8548
(773) 875-5168
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154660355
INDIVIDUAL NPI
IL
Enumeration date
12/29/2020
Last updated
12/29/2020
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