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Individual

JESSICA MASCENIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, ATR-BC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178011757
IL
101YP2500X
Professional Counselor
Primary
180014211
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962696054
205702528
IL
Enumeration date
07/18/2018
Last updated
04/24/2026
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