Individual
JACALYN DALE FISCHER-CASEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
631 N LONGWOOD ST, STE 203, ROCKFORD, IL 61107-4266
(815) 962-6100
(815) 962-6107
Mailing address
631 N LONGWOOD ST, STE 203, ROCKFORD, IL 61107-4266
(815) 962-6100
(815) 962-6107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3810
IL
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
11/27/2005
Last updated
09/11/2025
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