Jessica Smith

NPI #1083326854 in Minooka, Illinois

Provider Information

NPI Number: 1083326854
Entity Type: Individual
Name: Jessica Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 23, 2022
Last Updated: Dec 23, 2022

Practice Location

Address: EVOLVE THERAPEUTIC SERVICES CENTER
Address 2: 304 W. MONDAMIN ST. #104
City: Minooka
State: Illinois
ZIP Code: 60447
Phone: (815) 274-7308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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