JESSA CARLSON MA LPC NCC NPI 1326654146

NPI Information

NPI: 1326654146
Provider Name: JESSA CARLSON, MA, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3516 W HARMON HWY
PEORIA, IL
ZIP 61604
Phone: (309) 712-3962
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Jessa Carlson, MA, LPC, NCC is a professional counselor in Peoria, IL. Jessa Carlson, MA, LPC, NCC NPI is 1326654146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3516 W HARMON HWY
PEORIA, IL
ZIP 61604-925
Phone: (309) 712-3962

The enumeration date for this NPI number is 9/17/2020 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178.016220	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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