SearchIllinois101YP2500X

Jessa Carlson, MA, LPC, NCC

NPI 1326654146 · on the registry since 2020 · sole proprietor

Practice

Address
3516 W Harmon Hwy
Peoria, IL 61604
Phone
(309) 712-3962
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-17

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