Individual
MRS. JESSICA JEAN DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 NORTH STATE ROAD 49, WHEATFIELD, IN 46392
(219) 956-3125
Mailing address
13204 FORESTDALE STREET, CEDAR LAKE, IN 46303
(219) 218-7108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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