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Individual

JESSICA MARIE KNOCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, BC-DMT

Contact information

Practice address
2035 W CHARLESTON ST APT 403, CHICAGO, IL 60647-4537
(847) 209-4566
Mailing address
2035 W CHARLESTON ST APT 403, CHICAGO, IL 60647-4537
(847) 209-4566

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011231
IL

Other

Enumeration date
06/02/2018
Last updated
06/02/2018
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