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Individual

JESSICA ELISE JOHNSON BERRIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 W WASHINGTON ST, SUITE 321, OSWEGO, IL 60543-8214
(630) 383-2077
Mailing address
123 W WASHINGTON ST, SUITE 321, OSWEGO, IL 60543-8214

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012533
IL

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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