Individual
JESSICA L CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N WASHINGTON ST, NAPERVILLE, IL 60563-1335
(630) 315-0021
Mailing address
1750 N WASHINGTON ST, NAPERVILLE, IL 60563-1335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019934
IL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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