Individual
JESSICA DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370984175-006
—
IL
Enumeration date
02/15/2016
Last updated
02/15/2016
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