Individual
JESSICA NICHOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
100 BATSON CT STE 206, NEW LENOX, IL 60451-1565
(815) 409-5940
Mailing address
14453 STATELY OAKS CIRCLE, HOMER GLEN, IL 60491-9394
(309) 696-7584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009185
IL
101YP2500X
Professional Counselor
Primary
180.009933
IL
Other
Enumeration date
11/20/2013
Last updated
07/21/2022
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