Individual
JESSICA JOAN CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
310 KAY ST, MANHATTAN, IL 60442-9278
(815) 474-9647
Mailing address
310 KAY ST, MANHATTAN, IL 60442-9278
(815) 474-9647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007876
IL
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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