Individual
MS. JESSICA T LE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
(309) 692-2262
Mailing address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
(309) 692-2262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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