Individual
MS. JESSICA MUNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC CRC LCPC
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
Mailing address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009155
IL
101YM0800X
Mental Health Counselor
180.001955
IL
Other
Enumeration date
06/19/2014
Last updated
11/14/2019
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