Jessica Wolf, LCPC
NPI #1568973279 in Bloomington, Illinois
Provider Information
- NPI Number
- 1568973279
- Entity Type
- Individual
- Name
- Jessica Wolf, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Oct 20, 2017
- Last Updated
- Oct 20, 2017
Practice Location
- Address
- 502 S MORRIS AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4884
- Phone
- (309) 820-7616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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