Individual
KOURTNEE JO MEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 N 7TH ST, ROCHELLE, IL 61068-1185
(815) 562-3801
Mailing address
1272 W STOVER ST, FREEPORT, IL 61032-4873
(181) 550-3603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
10/31/2022
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