Individual
DR. JESSICA ASHLEY LOVE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC, NCC, CADC
Contact information
Practice address
4749 LINCOLN MALL DR STE, MATTESON, IL 60443-3826
(312) 561-6215
Mailing address
PO BOX 223, PARK FOREST, IL 60466-0223
(312) 561-6215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35867
IL
101YM0800X
Mental Health Counselor
180.014995
IL
101YP2500X
Professional Counselor
Primary
180.014995
IL
Other
Enumeration date
05/02/2017
Last updated
07/04/2025
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