Organization
DR. JACKIE JIANG COUNSELING & EVALUATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHUJUN JIANG PSYD (OWNER)
(309) 221-7659
Entity
Organization
Contact information
Practice address
3816 27TH ST, MOLINE, IL 61265-6343
(309) 944-7833
(309) 403-0554
Mailing address
3816 27TH ST, MOLINE, IL 61265-6343
(309) 944-7833
(309) 403-0554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598954588
NPI OF THE CLINICIAN
IL
Enumeration date
03/03/2016
Last updated
03/03/2016
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