Jessica Mcdaniel, MA LPC

NPI #1316423981 in O Fallon, Illinois

Provider Information

NPI Number: 1316423981
Entity Type: Individual
Name: Jessica Mcdaniel, MA LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MA LPC
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 1117 OLD VINCENNES TRL
City: O Fallon
State: Illinois
ZIP Code: 62269-4115
Phone: (618) 530-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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