Individual
JENNA FARMER-BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
221 E COUNTY RD, JERSEYVILLE, IL 62052-3190
(618) 639-2010
(618) 639-2015
Mailing address
221 E COUNTY RD, JERSEYVILLE, IL 62052-3190
(618) 639-2010
(618) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008763
IL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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