Individual
JESSICA MASCENIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ATR-BC
Contact information
Practice address
432 N CEDAR AVE, WOOD DALE, IL 60191-1511
(630) 244-1780
Mailing address
432 N CEDAR AVE, WOOD DALE, IL 60191-1511
(630) 244-1780
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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