Individual
JAQUETTE EBONY STERLING-RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1725 SPRUCE HILL DR, BELLEVILLE, IL 62221-3602
(618) 616-9309
Mailing address
1725 SPRUCE HILL DR, BELLEVILLE, IL 62221-3602
(618) 616-9309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178014515
IL
101YP2500X
Professional Counselor
Primary
2019023835
MO
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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