Individual
JESSICA ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
201 N 27TH ST, MOUNT VERNON, IL 62864-2941
(618) 242-5600
(618) 242-9381
Mailing address
201 N 27TH ST, MOUNT VERNON, IL 62864-2941
(618) 242-5600
(618) 242-9381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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