Individual
JESSICA L. KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CCTP, TCTSY-F
Contact information
Practice address
200 S FRONTAGE RD STE 320, BURR RIDGE, IL 60527-6953
(630) 423-5998
Mailing address
10845 S 84TH AVE APT 2C, PALOS HILLS, IL 60465-3223
(815) 823-6950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012826
IL
Other
Enumeration date
04/11/2019
Last updated
02/13/2024
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