Individual
JESSICA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
502 S MORRIS AVE, BLOOMINGTON, IL 61701-4884
(309) 820-7616
(309) 820-7657
Mailing address
128 N MICHIGAN ST APT C, EL PASO, IL 61738-1076
(815) 326-2513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011245
IL
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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