Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA N ROOSEVELT, LCSW
Active Sole ProprietorJESSICA N ROOSEVELT, LCSW is a Mental Health Counselor healthcare provider located in GRAYVILLE, Illinois. NPI 1467028241 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GRAYVILLE, IL
Registration Details
- NPI Number
- 1467028241
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2021 (5.1747684211795 yrs)
- Last Updated
- Jun 2, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 W COMMERCE STGRAYVILLE, IL, 628441570Browse IL providers · Browse ZIP 62844
- Phone
- 6183847544
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.