Larson, Jessica A
Larson, Jessica A is an sole proprietor health care provider with primary practice located at 3825 Highland Avenue Tower 1 Suite 3K, Downers Grove IL 60515. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Larson, Jessica A can be contacted via phone (630) 277-9119.Contact Information
Primary practice address
3825 Highland Avenue Tower 1 Suite 3K
Downers Grove IL 60515
Phone: (630) 277-9119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5430 | Colorado |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0005430 | Colorado |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166.001132 | Illinois |
Profile Details
| NPI number | 1427373414 |
|---|---|
| LBN Legal business name | Larson, Jessica A |
| Credentials | M.ED., LMFT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2010 |
| Last updated | Dec 7th, 2022 - about 4 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.
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