Individual
JESSICA CATHERINE RODRIGUEX WELLMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ASOP
Contact information
Practice address
1720 BROADWAY ST, MOUNT VERNON, IL 62864-2930
(408) 656-0623
Mailing address
906 MAPLE ST, MOUNT VERNON, IL 62864-3547
(408) 656-0623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.015662
IL
Other
Enumeration date
11/27/2023
Last updated
11/28/2023
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