SearchIllinois101YM0800X

Jessica Mcdaniel, MA LPC

NPI 1316423981 · on the registry since 2018 · sole proprietor

Practice

Address
1117 Old Vincennes Trl
O Fallon, IL 62269
Phone
(618) 530-5070

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois