Jesse Desilva

NPI #1326892209 in Rock Island, Illinois

Provider Information

NPI Number: 1326892209
Entity Type: Individual
Name: Jesse Desilva
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 4703 44TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-7189
Phone: (309) 786-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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