Individual
JESSICA A LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMFT, LPC
Contact information
Practice address
3825 HIGHLAND AVENUE, TOWER 1 SUITE 3K, DOWNERS GROVE, IL 60515
(630) 277-9119
Mailing address
10S531 RUTGERS CT, DOWNERS GROVE, IL 60516-5131
(331) 201-0676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5430
CO
101YP2500X
Professional Counselor
LPC.0005430
CO
106H00000X
Marriage & Family Therapist
Primary
166.001132
IL
Other
Enumeration date
04/01/2010
Last updated
12/07/2022
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