JADE A B WURSTER NPI 1912443482

NPI Information

NPI: 1912443482
Provider Name: JADE A B WURSTER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1409 W IRVING PARK RD
CHICAGO, IL
ZIP 60613
Phone: (331) 703-5032
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Jade A B Wurster is a mental health counselor in Chicago, IL. Jade A B Wurster NPI is 1912443482. 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:

1409 W IRVING PARK RD
CHICAGO, IL
ZIP 60613
Phone: (331) 703-5032

The enumeration date for this NPI number is 1/9/2017 and was last updated on 5/24/2018.

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	101YM0800X	Counselor	Mental Health	178.009888	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180.011626	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: 11/14/2023

NPI Synchronization or Removal

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