Individual
JESSICA MARIE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CADC
Contact information
Practice address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 387-2453
(815) 387-7997
Mailing address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 387-2453
(815) 387-7997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16793-130
WI
101YM0800X
Mental Health Counselor
321-228
WI
106H00000X
Marriage & Family Therapist
Primary
166001087
IL
Other
Enumeration date
04/03/2013
Last updated
10/28/2016
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