Individual
JESSICA LAUREN TARWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 GLENWOOD AVE, JOLIET, IL 60435-5481
(815) 730-8221
Mailing address
16936 OLD ORCHARD LN N, LOCKPORT, IL 60441-5883
(708) 203-9689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015497
IL
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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