Individual
JESSICA PROWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.017020
IL
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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