Individual
JESSICA ELIZABETH BIFFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
221 S METTER AVE, COLUMBIA, IL 62236-2253
(618) 281-9282
Mailing address
420 S LIBRARY ST, WATERLOO, IL 62298-1433
(636) 667-1576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011560
IL
101YM0800X
Mental Health Counselor
180011560
IL
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891203535
NPPES
IL
Enumeration date
01/16/2018
Last updated
01/05/2021
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