Individual
JILLIAN GRACE OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 CAPITOL CT NE STE 100, WASHINGTON, DC 20002-7709
(202) 596-6454
Mailing address
502 HAWKINS DR, WINNEBAGO, IL 61088-8349
(779) 771-2091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC200001877
DC
Other
Enumeration date
01/22/2025
Last updated
08/20/2025
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