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NPI Code Detail

MEDICARE: JESSICA IRENE NEMECZ MA, LPC, QMHP

MEDICARE: JESSICA IRENE NEMECZ MA, LPC, QMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1800007303IL

General Provider Information

NPI Number : 1407977135
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA IRENE NEMECZ MA, LPC, QMHP
Provider Business Mailing Address
First Line : 505 N 3RD ST
Second Line :
City : SAINT JOSEPH
State : IL
Zip : 61873-9567
Country : US
Telephone Number : 217-431-8825
Fax Number : 217-431-8827
Provider Business Practice Location Address
First Line : 3545 N VERMILION ST
Second Line :
City : DANVILLE
State : IL
Zip : 61832-1100
Country : US
Telephone Number : 217-651-6801
Fax Number : 217-651-6802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 04/21/2023

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