Douglass, Jessica M

Douglass, Jessica M is an individual health care provider with primary practice located at 325 Il Route 2 , Dixon IL 61021-9118. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Douglass, Jessica M can be contacted via phone (815) 284-6611.

Contact Information

Primary practice address
325 Il Route 2 Dixon IL 61021-9118
Phone: (815) 284-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 34621 Illinois

Profile Details

NPI number 1295213882
LBN Legal business name Douglass, Jessica M
Credentials MS, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers